Open AccessKimura's disease involving bilateral lacrimal glands and extraocular muscles along with ipsilateral face: A unique case report
Author(s) -
Chandana Chakraborti,
Ajoy K. Saha,
Ankita Bhattacharjee,
Rupanjili Lakra
Publication year - 2019
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_810_19
Subject(s) - medicine , lacrimal gland , extraocular muscles , orbit (dynamics) , parotid gland , magnetic resonance imaging , kimura's disease , anatomy , differential diagnosis , cheek , eyelid , biopsy , pathology , radiology , eosinophilia , engineering , aerospace engineering
A 23 year female presented with bilateral recurrent swelling of eyelids along with ptosis and proptosis for last 3 years. She also had swellings over the right cheek, parotid gland, and retro auricular area along with regional lymphadenopathy. Systemic laboratory workup revealed raised serum IgE and a high peripheral eosinophil count. Computed tomography and magnetic resonance imaging showed bilateral enlargement of extraocular muscles, lacrimal glands, and ipsilateral parotid gland. Excision biopsy of the retro-auricular lymph node was suggestive of Kimura's disease (KD). The patient responded well to systemic corticosteroid. KD rarely affects orbit, but it should be included in the differential diagnosis of inflammatory diseases of the orbit. To our knowledge, this is the first reported case of KD from India involving the orbit, lacrimal gland, extraocular muscles, parotid gland and buccal area.