Title |
Effective treatment of Kimura’s disease with leflunomide in combination with glucocorticoids
|
---|---|
Published in |
Clinical Rheumatology, February 2011
|
DOI | 10.1007/s10067-011-1689-2 |
Pubmed ID | |
Authors |
Lie Dai, Xiu-Ning Wei, Dong-Hui Zheng, Ying-Qian Mo, Frank Pessler, Bai-Yu Zhang |
Abstract |
Kimura's disease (KD) is a rare, benign, chronic inflammatory disease which typically presents as persisting or recurring tumor-like lesions in the head and neck area that can be easily misdiagnosed. We report one patient with KD treated with leflunomide in combination with glucocorticoids and analyzed the literature on treatment of KD. The patient had a recurrent mass in the left upper arm with eosinophilia and elevated serum IgE but no renal involvement. The clinical manifestations improved markedly within 1 month, and blood eosinophil count and serum IgE normalized. Corticosteroids were then tapered gradually without recurrence or severe side effects in the 2-year follow-up period. Literature analysis identified four different non-drug interventions and 18 different drugs for treating KD, most of which were obtained from case reports. Our use of combination therapy of leflunomide and glucocorticoids suggests the need for a controlled trial for the treatment of this rare disorder. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 1 | 5% |
Unknown | 19 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Unspecified | 2 | 10% |
Other | 2 | 10% |
Student > Bachelor | 2 | 10% |
Student > Ph. D. Student | 2 | 10% |
Professor > Associate Professor | 2 | 10% |
Other | 5 | 25% |
Unknown | 5 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 5 | 25% |
Unspecified | 2 | 10% |
Nursing and Health Professions | 2 | 10% |
Arts and Humanities | 1 | 5% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 5% |
Other | 4 | 20% |
Unknown | 5 | 25% |