J Korean Soc Radiol.  2024 Sep;85(5):943-947. 10.3348/jksr.2023.0153.

Orbital Involvement in Kimura’s Disease Presenting as Diffuse Bilateral Extraocular Muscle Enlargement: A Case Report

Affiliations
  • 1Departments of Radiology, University of Inha College of Medicine, Incheon, Korea
  • 2Department of Radiology, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 3Departments of Pathology, University of Inha College of Medicine, Incheon, Korea

Abstract

Kimura’s disease (KD) is a rare, chronic inflammatory disorder characterized by angiolymphoid hyperplasia, peripheral eosinophilia, and elevated serum immunoglobulin E levels. It primarily affects young Asian males and typically involves the head and neck region, especially near the mandible and postauricular regions. Orbital involvement is unusual and extraocular muscle (EOM) involvement is exceedingly rare, with only a few cases reported in the literature. The present report describes a case of surgically confirmed KD in a 16-yearold male, involving the bilateral EOM, lacrimal gland, and left parotid gland.

Keyword

Kimura’s Disease; Exophthalmos; Extraocular Muscles Enlargement; Bilateral Lacrimal Gland Swelling
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