0
Pulmonary Manifestations of Systemic Disease: Systemic Disease |

Kimura's Disease in Respiratory Department: Two Case Reports

Zheng Wang, MD; Jun Wan, PhD; Juanni Gong, MD; Yuhui Zhang, MD
Author and Funding Information

Beijing Institute of Respiratory Medicine, Beijing, China


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A470. doi:10.1016/j.chest.2016.02.489
Text Size: A A A
Published online

Extract

SESSION TITLE: Systemic Disease

SESSION TYPE: Case Report Poster

PRESENTED ON: Sunday, April 17, 2016 at 11:45 AM - 12:45 PM

INTRODUCTION: Kimura’s disease is rare especially in respiratory department. But there are still chances to meet the case of Kimura's disease with respiratory situations.

CASE PRESENTATION: Patient 1 A 49-year-old man who had been admitted with intermittent cough for 16 years and recurrent enlargement of left submandibular mass for 6 years. He had undergone submandibular lymphatic nodes (SMLN) surgery for local excision in January 2008, and after short time intravenous drip of methylprednisolone the SMLN got shrinkage and eosinophil level was also dropped to normal. We re-evaluated the pathological section of excised specimens and confirm the diagnosis of Kimura's disease. To explore the reason of cough, bronchial provocation test was applied and the patient was diagnosed as airway hyper reactivity. The patient's cough symptoms and lung function is still on follow-up visit. Patient 2 An 68-year old woman complained with itchy erythematous papules for 3 years, edema of lower extremity for 2 years and pulmonary shadow for 1 year. She was diagnosed as eosinophilic dermitis and nephrotic and prescribed of oral steroid and ciclosporin for the several months. During that treatment, the patient got cough with little sputum and was found nodular shadow in the right upper lobe. Rifampicin and isoniazid could not improve the pulmonary shadow and enlarged lymph nodes. We carried out lymph node and lung biopsy and got the diagnosis of Kimura’s disease accompanied with pulmonary tuberculosis. Treatment of antituberculosis (HRSZ) and mycophenolate alleviated the patient's cough, albuminuria and yielded improved chest CT scan.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543