A Rare Case Of Kimura’s Disease Presenting With Cough, Hemoptysis And Axillary Lymph Node Enlargement.

Kimura’s Disease is a benign, slow growing chronic inflammatory swelling with a predilection for the head and neck regions and has hence been restricted exclusively to literature published in those specialties. Here, we report a unique and interesting case of a 50 year old male who presented with cough, massive hemoptysis and significantly enlarged firm, non tender, mobile axillary nodes. An excision biopsy showed eosinophillic micro abscesses and associated features that gave a diagnosis of Kimura’s. The serum IgE levels and eosinophil counts were high, which corroborated the histopathology. He was treated with oral steroid therapy with the subsidence of symptoms and regression of histopathological parameters within two weeks. This case is highlighted to bring to attention an extremely uncommon presentation of a disease which normally presents in a very different manner although the complex of symptoms is very common in the context of respiratory disease.