A Case of Insidious Onset of Kimura Disease-associated Immunoglobulin A Nephropathy without Eosinophil Infiltration in the Renal Tissue

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Liu Linxin; Gou Haoxian; Liu Yongfa; Hu Shuai; Yang Xiaoli; Li Bo

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Journal Paper

Paper Information

Journal: Iranian Journal of Allergy, Asthma and Immunology Year:2023 | Volume:22 | Issue:6 Page(s): 604-608

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Title

A Case of Insidious Onset of Kimura Disease-associated Immunoglobulin A Nephropathy without Eosinophil Infiltration in the Renal Tissue

Author(s)

Keywords

Immunoglobulin A nephropathy

Infiltration of eosinophils

Kimura disease

Renal

involvement

Abstract

Kimura disease (KD), also known as eosinophilic lymphogranuloma, is a rare chronic inflammatory or allergic disease. It can present with immune-related diseases such as nephrotic syndrome, asthma, and ankylosing spondylitis. In this study, we report a case of KD combined with Immunoglobulin A nephropathy that first presented as a mass in the inguinal region, followed by recurrent Renal involvement. Previous reports suggested that Renal involvement caused by KD was due to direct Infiltration of eosinophils,however, in this case, no eosinophil infiltration was found in the Renal tissue after Renal biopsy. This observation reminds us to approach the case from an immune-related molecular perspective to investigate the exact cause of Renal damage due to KD.

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