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Recurrent Kimura Disease of the Inner Canthus With No Lymphadenopathy
Irimpan L Francis1, Mohan Ramalingam, Nadir A M Ali
1*Department of Ophthalmology, and †Department of Pathology, RIPAS Hospital, Bandar Seri Begawan, Brunei Darussalam.
Abstract:
The Kimura disease is a benign rare inflammatory condition of the soft tissue, especially of the head and neck region presenting as painless nodule with or without lymphadenopathy. This condition with unknown etiology is seen mainly in Asian males, in their thirties. The authors' present a 39-year-old man with the Kimura disease in the inner canthus of his OS and no lymphadenopathy. The subcutaneous nodule was excised, and on histopathological study it was confirmed as the Kimura disease. He presented with a larger recurrence after 1 year. It was fixed to the underlying bone. Excision biopsy proved it to be the Kimura disease. To the authors' knowledge, this is the first report of the Kimura disease affecting ocular structures. The Kimura disease, although a rare condition, should be considered in the differential diagnosis of the primary and recurrent masses arising from the inner canthus of the eye.
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