中国全科医学2012，Vol.15Issue(32)：3774-3775,2.DOI:10.3969/j.issn.1007-9572.2012.11.067
木村病26例诊治体会
Diagnosis and Treatment of 26 Patients with Kimura′s Disease
摘要
Abstract
Objective To investigate the clinical features, diagnosis and treatment of Kimura's disease ( KD ) in order to improve the understanding and to reduce misdiagnosis of this disease. Methods Clinical features, laboratory data and following up of 26 KD patients admitted to our hospital from 2005 to 2011 were retrospectively analyzed. Results 26 cases all initially demonstrated subcutaneous tumor, among which 19 cases had increased serum IgE and eosinophilic granulocyte in peripheral blood. All the KD patients were misdiagnosed due to the lack of symptom specificity. Tumor resection and biopsies were performed in the 26 cases and the biopsy results were consistent with typical symptoms of KD. Conclusion KD is a rarely seen chronic immune -inflammatory disease and is tend to be misdiagnosed due to its lack of clinical specificity, so its diagnosis should be dependent on biopsies. Laboratory data that are relatively specific are increased eosinophilic granulocyte in peripheral blood and serum IgE, and some patients were accompanied by kidney damage. Treatments of KD include excision, glucocorti-coids treatment and radiotherapy.关键词
木村病/嗜酸粒细胞增多/嗜酸性肉芽肿/体征和症状/活组织检查/诊断/治疗Key words
Kimura's disease/ Eosinophilia/ Eosinophilic granuloma/ Signs and symptoms/ Biopsy/ Diagnosis/ Therapy分类
医药卫生引用本文复制引用
章波,袁雁,付斌..木村病26例诊治体会[J].中国全科医学,2012,15(32):3774-3775,2.
