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Intravital Microscopy of the Inguinal Lymph Node

Intravital Microscopy of the Inguinal Lymph Node

Published on: April 4, 2011

Kimura disease: A rare case affecting the inguinal lymph node.

Nur Syafawani¹, Ab Razak Samsudin¹

¹Division of General Surgery, Department of Surgery, Faculty of Medicine, KPJU, Malaysia.

International Journal of Surgery Case Reports

|May 7, 2025

Summary

Kimura disease (KD) is a rare inflammatory condition. This case highlights KD presenting as an inguinal mass in an elderly woman, successfully treated with surgery and corticosteroids.

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Area of Science:

Rare inflammatory disorders
Dermatology
Oncology

Background:

Kimura disease (KD) is a benign, chronic inflammatory disorder.
Typically presents as unilateral subcutaneous masses in the head and neck.
Etiology is uncertain, possibly immune-mediated.

Observation:

A 70-year-old woman presented with a painless, slow-growing inguinal mass.
Initial evaluations suggested a benign lesion, but malignancy could not be excluded.
Antibiotics provided temporary relief, but the swelling recurred.

Findings:

Histopathological examination confirmed Kimura disease with eosinophilic infiltration and lymphoid proliferation.
Elevated serum IgE levels were noted.
Surgical excision followed by corticosteroid therapy led to recovery.

Implications:

This case emphasizes the importance of considering Kimura disease in atypical locations like the inguinal region.
Awareness of rare presentations is crucial to avoid misdiagnosis and unnecessary interventions.
Effective management involves surgical excision and corticosteroid therapy.