Rare intraparotid gland localization of Kimura's disease: A case report

Kimura's disease, a rare chronic inflammatory disorder of uncertain etiology, predominantly affects Asian males. Its occurrence in non-Asian individuals is uncommon, often leading to diagnostic delays. We present a North African case to underscore its global relevance.

A 31-year-old male presented with a 6-year history of a firm, mobile parotid mass. MRI identified a nodular lesion in the superficial parotid lobe. Histopathology confirmed Kimura's disease. The patient underwent exofacial parotidectomy with no recurrence.

Kimura's disease must be distinguished from malignant or infectious parotid masses. Surgical excision is curative for localized disease; corticosteroids address systemic involvement. Renal complications (seen in 50 % of cases) require monitoring. Radiotherapy/immunosuppressants remain adjunctive.

This case emphasizes including Kimura's disease in differential diagnoses of parotid masses, regardless of ethnicity. Its diagnosis is based on histopathologic findings, and treatment should be individualized.