Case Report: Hyper IgE, but Not the Usual Suspects–Kimura Disease in an Adolescent Female

Author:

Ramachandran Prasanna Venkatesh,Healy C. Mary,Lambert Elton M.,Guerra Deyanara,Curry Choladda V.,Vogel Tiphanie P.

Abstract

Elevated immunoglobulin E (IgE) levels can be associated with infectious, allergic and inflammatory disorders, and rarely as a manifestation of an inborn error of immunity. Here we report the case of an adolescent female who presented with a gradually enlarging neck mass, lymphadenopathy, eosinophilia and highly elevated IgE levels. Laboratory and histopathologic evaluation revealed an unlikely diagnosis of Kimura Disease. We discuss the differential diagnosis of a neck mass with prominent eosinophils on histology, and review support for T-helper type 2 (Th2) cell activation and hyper-IgE in Kimura Disease.

Publisher

Frontiers Media SA

Subject

Pediatrics, Perinatology, and Child Health

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