Indian Journal of Pathology and Microbiology
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Year : 2019  |  Volume : 62  |  Issue : 3  |  Page : 437-440

Kimura disease with nephrotic syndrome in a child- A rare association

1 Department of Pathology, Military Hospital Jodhpur, Jodhpur, Rajasthan, India
2 Department of Radiodiagnosis and Imaging, Command Hospital, Pune, Maharashtra, India

Correspondence Address:
Anusree Majumder
Department of Pathology, Military Hospital Jodhpur, Jodhpur - 342 006, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJPM.IJPM_517_18

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Lymphadenopathy along with various systemic manifestations is commonly encountered in pediatric patients, tuberculosis being the commonest etiology. Occasional patients may present a diagnostic conundrum. Here, the authors report an unusual manifestation of Kimura disease (KD) presenting as nephrotic syndrome associated with mesenteric lymphadenitis in an 11-year-old male child. KD is a chronic inflammatory disorder of unknown etiology. It typically affects young adult males in the age range of 27-40 years and usually presents as painless itchy nodular masses in the head and neck region. The involvement of mesenteric lymph nodes along with a very young age of presentation makes it a rare case, posing a diagnostic challenge for the unsuspecting physician.

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