木村病13例临床分析  

Kimura's Disease:a Clinical Analysis of 13 Cases

作　　者：黄林洁[1] 张蔚[1] 江山平[1] 梁瑞韵[1] 吕志强[1] 

机构地区：[1]中山大学附属第二医院呼吸科,510120

出　　处：《岭南急诊医学杂志》2009年第1期18-19,22,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:提高对木村病的认识。方法:回顾性分析本院2003年1月至2008年10月13例木村病的临床资料。结果:木村病的主要表现为头颈部肿物(11例)、头颈部淋巴结肿大(11例)、腮腺侵犯(4例)、外耳道侵犯(2例)、压迫症状(2例),合并肾病综合征(1例),外周血嗜酸性粒细胞计数增多(7例),治疗后复发(4例)。结论:中青年男性、头颈部慢性无痛性肿块、局部淋巴结肿大、血嗜酸性粒细胞计数升高、血清IgE水平升高提示木村病可能,确诊依赖病理学检查。Objectives:To improve the acknowledge of Kimura's disease(KD).Methods:Clinical data of 13 cases patients with KD from the second affiliated hospital of Sun Yat-son University from January 2003 to October 2008 were analyzed retrospectively.Results:The main symptom of KD were tumors in the head and neck region(11 cases),regional lymph nodes(11 cases),affected the salivary glands(4 cases),affected the external auditory meatus (4 cases),Symptoms of oppression(2 cases),associated with nephritic syndrome(l case),increased peripheral blood eosinophil counts(7 cases),disease recurrence(4 cases).Conculsion:The KD should be suspected when the clinical feature are young-and-middle-aged males with subcutaneous masses in the head and neck region accompanied by regional lymphadenopathy and elevated peripheral blood eosinophilia and serum immunoglobulin E(IgE).A definitive diagnosis is made by histological examination of the excised lesion.

关 键 词：木村病 临床分析 

分 类 号：R55[医药卫生—血液循环系统疾病]