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Chronic Kidney Disease II: Clinical Manifestations01:24

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Digital Polymerase Chain Reaction Assay for the Genetic Variation in a Sporadic Familial Adenomatous Polyposis Patient Using the Chip-in-a-tube Format
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Kimura Disease-A Case Report.

Abhijeet Bhatia1, Subhadeep Das1, Anuradha Deka1

  • 1Department of ENT, NEIGRIHMS, Shillong, 793018 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|August 28, 2023
PubMed
Summary
This summary is machine-generated.

Kimura disease, a rare eosinophilic disorder, typically affects young males with swelling and enlarged glands. Management involves surgery, steroids, and sometimes chemotherapy, but recurrence is common.

Keywords:
Angiolymphatic proliferationEosinophilic microabscessHypereosinophiliaKimura DiseaseRaised serum IgE

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Area of Science:

  • Immunology
  • Pathology
  • Radiology

Background:

  • Kimura disease is an idiopathic, eosinophilic, hyperplastic, and granulomatous condition.
  • It predominantly affects young males, presenting with subcutaneous swelling, salivary gland enlargement, and lymphadenopathy.

Purpose of the Study:

  • To provide a comprehensive overview of Kimura disease.
  • To discuss diagnostic criteria, imaging, and management strategies.
  • To highlight the challenges in managing recurrence.

Main Methods:

  • Diagnosis relies on histopathological examination.
  • Key indicators include elevated serum IgE and hypereosinophilia.
  • Magnetic Resonance Imaging (MRI) is the preferred radiological investigation.

Main Results:

  • The disease is characterized by specific histopathological findings.
  • Biochemical markers like IgE and eosinophil counts are significantly elevated.
  • MRI provides detailed visualization for diagnosis and monitoring.

Conclusions:

  • Kimura disease requires a multi-faceted diagnostic approach combining clinical, biochemical, and imaging data.
  • Treatment strategies encompass surgical excision, corticosteroid therapy, and potentially chemotherapy.
  • Despite treatment, the disease has a notable tendency for relapse and recurrence, necessitating long-term follow-up.