中国全科医学 ›› 2018, Vol. 21 ›› Issue (23): 2882-2885.DOI: 10.3969/j.issn.1007-9572.2018.00.225

• 专题研究 • 上一篇    下一篇

木村病四例报道及诊断思路分析

刘娟,姜丽丽,王友莲*   

  1. 330006江西省南昌市,江西省人民医院风湿免疫科
    *通信作者:王友莲,主任医师;E-mail:wyl5639@sina.com
  • 出版日期:2018-08-15 发布日期:2018-08-15
  • 基金资助:
    Immune system diseases;Kimura disease;Clinical features;Diagnosis;Treatment

Kimura Disease:Report of Four Cases and Diagnosis Ideas 

LIU Juan,JIANG Li-li,WANG You-lian*   

  1. Department of Rheumatology,Jiangxi Provincial People's Hospital,Nanchang 330006,China
    *Corresponding author:WANG You-lian,Chief physician;E-mail:wyl5639@sina.com
  • Published:2018-08-15 Online:2018-08-15

摘要: 木村病(KD)是一种罕见的、自身免疫介导的慢性炎性疾病,亚洲中青年男性多见,病因及发病机制不明,临床常出现误诊、误治,常表现为头颈部无痛性、单个或多个皮下软组织肿物,可累及淋巴结、唾液腺;血嗜酸粒细胞及血清免疫球蛋白E水平升高为该病的特点;尽管该病呈良性病变过程,手术、放化疗和药物治疗有效,但病程长、病情极易反复。为探讨KD的诊治,本文总结经病理组织检查确诊的4例KD患者的诊治过程,结合文献复习对该病的临床表现、病理改变、诊断及治疗方法进行分析,以提高对该病的认识,为其诊治提供参考。

关键词: 免疫系统疾病, 木村病, 临床特点, 诊断, 治疗

Abstract: Kimura disease (KD) is a rare autoimmune-mediated chronic inflammatory disease that is common in young and middle aged men in Asia.The etiology and pathogenesis of the disease are unknown.Clinical misdiagnosis and mistreatment often occur on the basis of symptoms of painless single or multiple subcutaneous soft tissue masses in the head and neck,which can affect lymph nodes and salivary glands.Elevated blood eosinophils and serum immunoglobulin E levels is used to characterize the disease.Although the disease is a benign process for which surgery,radiotherapy and chemotherapy,and drug therapy are effective,the disease duration long,and the condition easily recurs.To investigate KD diagnosis and treatment,this article summarizes the diagnosis and treatment of four cases of KD diagnosed by pathological examination.In addition,a literature review of the clinical manifestations,pathological changes,diagnosis and treatment methods to improve the understanding of this rare disease,and to provide reference for its diagnosis and treatment,is presented.