Kimura Disease: A Diagnostic Perplexity

Abstract

Abstract
Introduction: Kimura disease (KD) is a rare condition of unknown etiology and pathogenesis. This is more common in young
males of Asian descent. The most common clinical presentation is presence of unilateral subcutaneous mass in the head
and neck region, especially in post-auricular area. We present a case of KD in 26- year- old Asian man who presented with
subcutaneous mass behind both auricles.
Case report: A 26- year- old man presented to ORL-HNS outpatient department of tertiary care centre with chief complaint
of mass behind both ear for 5 months. Incisional biopsy was performed under local anesthesia. Histopathological examination
report confirmed the case as KD. Patient was managed with intralesional triamcinolone injection.
Conclusion: Kimura disease, though rare, should be considered in differential diagnosis of head and neck subcutaneous
masses. A high-index of suspicion and tissue biopsy confirmation is essential to diagnose this condition.