A case of Kimura's disease: Approach by immunohistochemical study and analysis of clonality

Kyu Chul Hwang, Jun Ha Park, Young Chul Kye, Soo Nam Kim

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Kimura's disease is a chronic, inflammatory disorder of unknown origin. It is characterized by clinically recurrent painless swelling on head and neck region, histopathologically multiple lymphoid follicles, increased serum IgE levels, and eosinophilia of tissue and peripheral blood. It has been known that Kimura's disease is the reactive immunological disease. Recently, however, it was suggested the clonal T cell proliferation might contribute to the pathogenesis in the Kimura's disease. But, it is still uncertain that Kimura's disease is of reactive nature or neoplastic origin. A 71-year-old woman visited our clinic with painless violaceous swelling on her right cheek. Skin biopsy was performed and, taken together, Kimura's disease was diagnosed. Tissue section was examined with immunohistochemical stains with markers of lymphocytes, plasma cell, and periendothelial cell, and polymerase chain reaction for the TCR gene rearrangement was performed. We present a case of Kimura's disease investigated by the immunohistochemical study and TCR gene rearrangement test and suggest this case is in the limited favor of the reactive nature of Kimura's disease.

    Original languageEnglish
    Pages (from-to)740-745
    Number of pages6
    JournalKorean Journal of Dermatology
    Volume42
    Issue number6
    Publication statusPublished - 2004 Jun

    Keywords

    • Clonality
    • Immunohistochemical
    • Kimura's disase

    ASJC Scopus subject areas

    • Dermatology

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