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題名 | Kimura's Disease=木村氏病 |
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作者 | 林尚為; 李明諭; 張和興; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 17:4 1999.12[民88.12] |
頁次 | 頁381-387 |
分類號 | 415.7 |
關鍵詞 | 木村氏病; Kimura's disease; Angiolymphoid hyperplasia with eosinophilia; |
語文 | 中文(Chinese) |
中文摘要 | 木村氏病是一種罕見的炎症疾病,好發於東方的年輕男性。典型的病灶為頭頸部 皮下大型腫塊。以前,本村氏病被認為與「血管淋巴增生併嗜伊紅性白血球增多」是相同的 疾病,直到最近才被認為是兩種不同的疾病。我們報告一個七十二歲的高齡男性病人,在他 的左耳前方有一個無症狀的皮下腫塊,並且有左側下頷下及上頸淋巴結腫大的現象。皮下腫 塊的病理組織檢查發現數個包含生長中心的淋巴濾泡,且有數量極多的嗜伊紅性白血球浸潤 於濾泡之間。 血液檢查有嗜伊紅性白血球增多及 IgE 數值增高的現象。綜合上述診斷此為 一木村氏病之案例。病人在接受數次的病灶內皮質類固醇注射之後,此病灶已逐漸消退。 |
英文摘要 | Kimura's diease is a rare inflammatory disorder that occurs predominantly in oriental young males. It typically presents as large subcutaneous masses of head and neck region. Kimura's disease has been confused with angiolymphoid hyperplasia with eosinophilia, from which it should be distinguished as a separate entity. We present a 72-year-old male patient who suffered from an asymptomatic subcutaneous swelling in his left preauricular area associated with left submandibular and upper cervical lymphadenopathy. Histopathologic examination of the skin lesion revealed several lymphoid follicles with germinal centers and infiltration of numerous eosinophils in the interfollicular region. Significant blood eosinophilia and high serum IgE level were detected. Under the diagnosis of Kimura's disease, he was treated with intralesional corticosteroid injection and the lesion resolved gradually. |
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