[Kimura's disease on the hard palate in a patient from Martinique]

A Rare Kimura's Disease in the Oral Cavity with Severe Sleep Apnea: Case Report and Literature Review

Kimura's disease (KD) is a rare chronic inflammatory disorder that commonly occurs in Asian males. It mainly presents as painless subcutaneous masses or lymphadenopathy in the head and neck region. The incidence of KD in the oral cavity is quite rare. We reported a rare case of a 53-year-old male who had KD in his soft palate, hard palate and bilateral tonsils associated with severe sleep apnea. This patient underwent radiotherapy and exhibited a good response to the treatment. Throughout the 12-month follow-up period, the patient's condition remained satisfactory. Of the other 14 reviewed cases of KD in the oral cavity, the lesions can occur in the buccal mucosa, hard and soft palate, and mouth floor with specific clinical features. We further summarized their manifestations and treatments in order to guide the future identification and management of KD with lesions in the oral cavity.

Superficial Parotidectomy Plane for Debulking Surgery in Kimura Disease

Kimura disease (KD) is a rare chronic inflammatory disorder of unknown etiology representing as solitary or multiple subcutaneous nodules predominantly in the head and neck region. Common sites of involvement are preauricular region, forehead and scalp. The soft tissue localization is often associated with regional lymphadenopathy and enlargement of the major salivary gland. The authors report a patient with KD involving the right parotid and left temporal region managed successfully at our center using a combination of debulking superficial parotidectomy and medicinal therapy. To the best of knowledge of the authors, this is the first completely esthetically treated patient with KD with no clinical evidence of residual disease.

[Kimura disease in parotid location: about a case and review of the literature]

La maladie de Kimura ou lymphogranulome éosinophile est une pathologie inflammatoire chronique très rare, d’étiologie inconnue. Après avoir considéré que la maladie de Kimura appartenait au groupe des tumeurs de l'endothélium vasculaire et qu'elle pouvait, à ce titre, être assimilée avec l'hyperplasie angiolymphoïde avec éosinophilie chez des patients occidentaux, on pense aujourd'hui qu'il s'agit en réalité d'un processus réactionnel allergique ou autoimmun auquel participent les vaisseaux sanguins, les lymphocytes et les éosinophiles. Nous rapportons un cas de maladie de Kimura à localisation parotidienne chez un Patient de 67 ans qui a consulté devant l'apparition d'une tuméfaction de la région parotidienne droite évoluant depuis deux ans. Le patient a bénéficié d'une parotidectomie total droite et l’étude anatomopathologique de la pièce opératoire est revenue en faveur de la maladie de Kimura. Les suites opératoires été simples. Le recul est d'un an sans récidive.