Recurrent kimura disease of unilateral parotid gland: the magnetic resonance imaging findings.
Sudipta Mohakud, Dillip Kumar Samal, Madhusmita Sethy et al.
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Case in brief
An Indian male in his early 40s presented with a painless, gradually enlarging left parotid swelling for 6 months, following a previous diagnosis of Kimura disease (KD) confirmed by histopathology after left parotid surgery 7 years prior. MRI revealed an enlarged, heterogeneous left parotid gland with significant post-contrast enhancement and ipsilateral cervical lymphadenopathy. Fine-needle aspiration cytology indicated recurrent KD. Treatment with oral prednisolone, cyclosporine, and surgery resulted in significant improvement.
Diagnostic / clinical pearl
Clinicians should consider Kimura disease in patients with painless salivary gland swelling and eosinophilia, especially in young Asian males.