@article{e3e0145e70924a2793e5023d9ff78f1e,
title = "Computerized tomographic and ultrasonographic features of Kimura's disease",
abstract = "Kimura's disease (KD) is an uncommon condition once thought to affect only Orientals. The patients present with swelling of the major salivary glands associated with cervical lymphadenopathy. The clinical, histopathological and radiological findings of a young Caucasian female with KD will be presented and discussed.",
keywords = "Angiolymphoid hyperplasia with eosinophilia, Tomography, X-ray computed, Ultrasound",
author = "David Goldenberg and Albert Gatot and Yechiel Barki and Alberto Leiberman and Fliss, {Dan M.}",
note = "Funding Information: A 19-year-old, otherwise healthy Caucasian woman, presented with a two-week history of painful swelling of the right parotid and upper jugular area. She had been treated one week previously by her family physician with antibiotics with no apparent improvement. On admission she was subfebrile. Severe, firm and rubbery swelling of the right parotid gland, as well as the upper jugular nodes, was noted. Tenderness was elicited on palpation. There was no other lymphadenopathy. The skin overlying the parotid gland was normal. Examination of the oropharynx was normal as was the orifice of the Stenson duct, and secretions from the duct were clear. The rest of the physical examination was unremarkable. A peripheral blood count showed a white cell count of 12 600 with a shift to the left, and renal function tests were normal. Serology for Epstein-Barr virus (EBV), cytomegalovirus (CMV), mumps or other viral infections was negative. A chest film was normal. Parenteral antibiotics were administered (cefuroxime and metronidazole) and a post-contrast computed tomography (CT) was performed. This showed a right multiseptated parapharyngeal cystic cavity with peripheral enhancement. A mass was evident in the right parotid area, as was an extensive lymphadenopathy with uniform density except for focal capsular enhancement (Figure 1). The clinical as well as the radiological picture was interpreted as a parapharyngeal space abscess and surgery was recommended. Exploration of the patient's neck revealed a necrotic cavity, involving a right jugulo-digastric node which was drained. Several regional lymph nodes were biopsied. The histology was suspect for Hodgkin's lymphoma, but no specific diagnosis was proposed. Several days later an ultrasound guided fine needle aspiration (FNA)of her lateral neck was performed. This showed diffuse swelling of the parotid gland. Deep, in the anterior portion of the gland, a 2 X 1 cm necrotic mass was detected. Intraparietal lymph nodes were also demonstrated. Other findings included several partially From the Department of Otolaryngology, Ultrasonographic Unit and the Head and Neck Surgical Oncology Unit, Soroka Medical Centre, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Supported by the Saul A. Silverman Foundation and the Latner Dynacare Trust as a Canada-Israel Scientific Exchange Programme in Otolaryngology. Accepted for publication: 14 December 1996.",
year = "1997",
doi = "10.1017/s0022215100137417",
language = "אנגלית",
volume = "111",
pages = "389--391",
journal = "Journal of Laryngology and Otology",
issn = "0022-2151",
publisher = "Cambridge University Press",
number = "4",
}