This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on ISI (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • External Eye Disease  • Alert me on articles by topic

Arch Ophthalmol. 2004;122:917-919.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Kimura disease (KD) is an inflammatory condition that classically manifests as painless subcutaneous nodules of the head and neck in young Asian males.^1-2 Histologically, it is characterized as lymphoid follicles with germinal centers, distinguished by an eosinophilic infiltrate and varying degrees of fibrosis.² This makes the diagnosis of KD challenging as these histological features may overlap that of idiopathic orbital inflammation³ or angiolymphoid hyperplasia with eosinophilia (ALHE).^1-2 We discuss a unique case of KD with bilateral orbital involvement in an African American male. Based on our English-language MEDLINE literature search, to our knowledge, this seems to be the first clearly documented case of KD with simultaneous bilateral lacrimal gland involvement. This case is particularly intriguing as it occurred in a non-Asian patient.

Report of a Case

A 24-year-old urban African American man was seen with bilateral upper eyelid swelling, discomfort, and intermittent vertical diplopia of 1 year's duration. His medical history was noncontributory. Ophthalmic . . . [Full Text of this Article]

Comment
Pradeepa Yoganathan, MD; Dale R. Meyer, MD; Martha G. Farber, MD
Albany, NY

Corresponding author: Dale R. Meyer, MD, Department of Ophthalmology, Lions Eye Institute, 35 Hackett Blvd, Albany, NY 12208.