Kimuras Disease Presenting as Bilateral Postauricular Swelling - A Case Report

Background: Kimuras disease is a slowly progressive inflammatory disease of unknown aetiology. Kimm and Szeto reported the first case in 1937 in China and termed it as eosinophilic hyperplastic lymphogranuloma The condition is characterized by a triad of painless cervical lymphadenopathy or painless subcutaneous masses in head and neck region, tissue& blood eosinophilia, and markedly elevated serum immunoglobulin E levels. Cases: Middle aged man, presented with bilateral postauricular swelling, with no significant physical findings. Investigations revealed eosinophilia and raised IgE leves in both the cases. USG- Bilateral multiple cervical lymphadenopathy. Microscopy: It was reported as lymphoid hyperplasia on FNAC. The histopathology confirmed the condition to be Kimuras disease. Conclusion: Although rare the Kimuras disease makes the differential diagnosis of head and neck masses. This article highlights that; the clinicians should be aware of this rather rare and impressive clinical entity and may spare the patient from unnecessary invasive diagnostic procedures.