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KMID : 1103720100620030277
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Journal of the Korean Society of Radiology
2010 Volume.62 No. 3 p.277 ~ p.281
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Case Report of Arm Kimura Disease with Atypical MR Finding
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Kim Hee-Young
Kim Baek-Hyun
Kim Ye-Lim
Lee Young-Hun
Hong Suk-Joo
Kang Chang-Ho
Lee Guen-Young
Seo Bo-Kyoung
Lee Ju-Han
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Abstract
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Kimura disease is a rare chronic inflammatory condition of unknown origin that occurs mainly in young Asian male patients. Kimura disease is characterized by painless subcutaneous swelling and lymphadenopathy of the head and neck, associated with peripheral blood eosinophilia and increased serum IgE. According to some previous reports about a rare form of Kimura disease of the upper arm, soft tissue masses of the subcutaneous fat layer were demonstrated in the medial trochlear area, which showed strong and homogenous enhancement with marked perilesional edema and fat infiltrations on enhanced magnetic resonance imaging (MRI). In this case report, we introduce a case of Kimura disease of the upper arm in a 13-year male patient, which was seen as a well-marginated soft tissue mass without perilesional edema or fatty infiltrations on MRI. In this case study, we discuss the characteristics of the clinical and pathologic findings associated with unusual MRI findings, and report the Kimura disease with a different pathophysiology by anti-inflammatory drugs.
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KEYWORD
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Angiolymphoid hyperplasia with eosinophilia, Arm, Magnetic Resonance Imaging
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