木村病并发冠状动脉瘤  

Kimura disease with coronary artery aneurysm

作　　者：殷人麟 邹国桢 王志明[1] YIN Renlin;ZOU Guozhen;WANG Zhiming(Department of Cardiology,Suzhou Ninth People’s Hospital,Soochow University,Suzhou 215000,China;Pathology of Department,Suzhou Ninth People’s Hospital,Soochow University,Suzhou 215000,China)

机构地区：[1]苏州大学附属苏州九院心内科,江苏苏州215000 [2]苏州大学附属苏州九院病理科,江苏苏州215000

出　　处：《临床皮肤科杂志》2024年第12期745-747,共3页Journal of Clinical Dermatology

摘　　要：报告1例木村病并发冠状动脉瘤的患者,患者男,57岁。枕部肿块5年,反复胸痛10 d。皮肤科检查:左侧耳后可见皮下肿块,质硬,无压痛。枕部肿块组织病理:淋巴组织增生并形成淋巴样滤泡,淋巴样滤泡间可见嗜酸性粒细胞浸润,血管增生,可见不同程度纤维化。冠状动脉造影:回旋支中远段可见两冠状动脉瘤。诊断:木村病并发冠状动脉瘤。予口服糖皮质激素和抗血小板聚集等治疗。A case of a 57-year-old male patient with Kimura’s disease complicated by coronary artery aneurysm is reported.The patient presented with a five-year history of a mass in the occipital region and a ten-day history of recurrent chest pain.Dermatological examination revealed a hard,non-tender subcutaneous mass located posterior to the left ear.Histopathological examination of the mass in the occipital region demonstrated lymphoid hyperplasia with the formation of lymphoid follicles,eosinophilic infiltration between the follicles,angiogenesis,and varying degrees of fibrosis.Coronary angiography identified two coronary artery aneurysms in the middle and distal segments of the circumflex branch.A diagnosis of Kimura’s disease with coronary artery aneurysm was confirmed.The patient was treated with oral glucocorticoids and antiplatelet aggregation therapy.

关 键 词：木村病 冠状动脉瘤 

分 类 号：R758.69[医药卫生—皮肤病学与性病学]