Ann Dermatol.  1990 Jul;2(2):145-148. 10.5021/ad.1990.2.2.145.

A Case of Kimura's Disease with an Unusual Location and Clinical Manifestation

• Lee HG
• Kim BS
• Lee AY
• Cho KH
• Lee YS

• KMID: 2362047
• DOI: http://doi.org/10.5021/ad.1990.2.2.145

Abstract

Kimura's disease is a chronic inflammatory condition of unknown cause. It usually appears as a painless nodule in the head and neck region often associated with regional lymphadenopathy, but there have rarely been reports of penile involvement or clinical presentation as an ulcerative plaque. We present a case of Kimura's disease occurring on the penile shaft as an ulcerative plaque in a 44-year-old man. A vesicular eruption had occurred on his penile shaft followed by an ulcerative plaque for 2 months. He had suffered from recurrent regional lymphadenopathy for 15 years and he had also exhibited intermittent eosinophilia. Histopathologic findings revealed diffuse eosinophilic infiltration in the dermis of the skin and eosmophilic abscesses in the lymphoid follicles of the mguinal lymph node. After short-term systemic steroid therapy and local injection of triamcinolone acetonide, the ulcerative plaque was healed.

Keyword

Kimura's disease; Penile lesion; Uncerative plaque

MeSH Terms

Abscess
Adult
Dermis
Eosinophilia
Eosinophils
Head
Humans
Lymph Nodes
Lymphatic Diseases
Neck
Skin
Triamcinolone Acetonide
Ulcer
Triamcinolone Acetonide