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Case report
Oropharyngeal Kimura’s disease: a diagnostic dilemma and therapeutic challenge
  1. Prasanna Kumar Saravanam1,
  2. Aishwarya Gajendran1,
  3. Nethra Dinakaran2 and
  4. Dhaarani Jayaraman3
  1. 1ENT, Head and Neck Surgery, Sri Ramachandra University Medical College, Chennai, India
  2. 2Otorhinolaryngology, Sri Ramachandra Medical College and Research Institute, Chennai, India
  3. 3Pediatric Hemato Oncology, Sri Ramachandra Medical College and Research Institute, Chennai, India
  1. Correspondence to Dr Prasanna Kumar Saravanam; sprasannakumar10{at}


Kimura’s disease is a chronic inflammatory disorder involving subcutaneous tissue and locoregional lymph nodes of head and neck region, characterised by angiolymphoid proliferation. It is typically associated with peripheral eosinophilia, increased serum IgE and lymphadenopathy. Diagnosis is usually based on histopathological examination. Though various treatment modalities have been put forward, surgical management remains the first line of treatment, followed by systemic steroids application. This case report discusses the diagnostic dilemma and therapeutic management of a rare clinical presentation and management of oropharyngeal Kimura’s disease in a young immunocompetent woman.

  • ear
  • nose and throat/otolaryngology
  • head and neck cancer
  • paediatric oncology
  • pathology
  • otolaryngology / ENT

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  • Contributors PKS is the corresponding author of this article. He is the senior consultant who has dealt with the case. AG is the first author and monitor for the case report. DJ, pediatric haemato-oncologist, is a coauthor and has helped in the management of the case. ND, postgraduate in the department of otorhinolaryngology, is also a coauthor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.