DR. THANUJA TADICHARLA

DR. MODINI PANDHARPURAR

Abstract

PURPOSE: report case of kimura’s disease in left lowereyelid which responded to intralesional steroids

METHODS: A 17y/m presented with mass in lowerlid-6m duration. Palpation-diffuse mass,4.5cmx2.5cm extending into cheek with ill-defined margins,firm consistency, pigmentation,local rise of temperature. patent NLD,marked raised serum igE levels,USG neck-B/Lenlargement of submandibular lymphnodes. CT-homogenous diffuse lesion in preseptal component with calcific spots. Incisional biopsy &HPE revealed kimura’s disease.Due to non-circumscribed&cosmetically disfiguring nature of mass intoto excision-not possible.trial of oral steroids in tapering dose given for 2m-no results seen.Trial of intralesional steroid given

RESULTS:Good response to intralesional TA noted in 6W.

CONCLUSION: Periocular kimura’s disease-rare& not amenable for complete resection,likely to recur.Steroids-main stay of treatment.with intralesional steroids,disfigurement has resolved completely along with good cosmosis