title: Kimura disease: a case report and review of the literature with a new management protocol.
abstract: Kimura disease (KD) is a chronic inflammatory disorder with angiolymphatic proliferation, usually affecting young men of Asian race but is rare in other races. The etiology of KD is still unknown. It is often accompanied by nephrotic syndrome. Herein, we present an atypical manifestation of Kimura disease occurring in a Caucasian man with steroid-responsive early membranous glomerulonephritis. Kimura disease can present atypically in a middle-aged Caucasian man with secondary steroid-responsive nephrotic syndrome. Steroid, endoxan, and MMF can be used safely and successfully in such situation. The diagnosis of KD can be difficult and misleading, and patients with this disease are often evaluated using avoidable procedures by just not being aware of KD.
authors.affiliation: Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
authors.forename: Mohamed Ashraf
authors.initials: MA
authors.lastname: Fouda
authors.forename: Osama
authors.initials: O
authors.lastname: Gheith
authors.forename: Ayman
authors.initials: A
authors.lastname: Refaie
authors.forename: Mohamed
authors.initials: M
authors.lastname: El-Saeed
authors.forename: Adel
authors.initials: A
authors.lastname: Bakr
authors.forename: Ehab
authors.initials: E
authors.lastname: Wafa
authors.forename: Mona
authors.initials: M
authors.lastname: Abdelraheem
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sobh