title: Kimura's disease: case report of an Italian young male and response to oral cyclosporine A in an 8 years follow-up.
abstract: Kimura's disease is a benign chronic inflammatory disease, common in Asian males and rare in Western people. Clinically, Kimura's disease is characterized by subcutaneous nodular lesions, usually localised in head and neck, often associated with regional lymphadenopathy. Peripheral blood eosinophilia and elevated serum IgE are often observed. We report a case of a 40-year-old Italian patient presenting with nodular subcutaneous lesions and peripheral eosinophilia. Based on clinical, histopathological and laboratory findings, a diagnosis of Kimura's disease was made. The patient was treated with very low doses of cyclosporine A with no evidence of disease recurrence over the following 8 years. However, the discontinuation of cyclosporine A determined a relapse of the disease. The relevance of this case is due to the rarity of the disease in Italy, to its peculiar clinical presentation and, moreover, it is the first case in literature that has a good response to treatment with low doses of cyclosporine A, documented in an 8-year follow-up.
authors.affiliation: Department of Biomedicine, Allergology and Clinical Immunology, University of Florence, V.le Morgagni, 85, 50134 Florence, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Beccastrini
authors.forename: Giacomo
authors.initials: G
authors.lastname: Emmi
authors.forename: Michela
authors.initials: M
authors.lastname: Chiodi
authors.forename: Camilla
authors.initials: C
authors.lastname: Di Paolo
authors.forename: Elena
authors.initials: E
authors.lastname: Benedetta Silvestri
authors.forename: Daniela
authors.initials: D
authors.lastname: Massi
authors.forename: Enrico
authors.initials: E
authors.lastname: Maggi
authors.forename: Francesco
authors.initials: F
authors.lastname: Liotta
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Emmi
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000796:Angiolymphoid Hyperplasia with Eosinophilia / Q000175:diagnosis* / Q000188:drug therapy; D016572:Cyclosporine / Q000627:therapeutic use*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D011241:Prednisone / Q000627:therapeutic use; D012008:Recurrence; D016896:Treatment Outcome; D028761:Withholding Treatment
chemical_list: D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D016572:Cyclosporine; D011241:Prednisone
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