A case ofKimura's disease affecting the eyelids bilaterally is reported in a 5-year-old boy of Afro-Caribbean extraction who has been followed for 12 years with repeat biopsies. He initialiy presented at 5 years ofage with swelling of the left upper eyelid, left cervical lymphadenopathy, and eosinophilia. One year later he developed swelling ofthe right upper eyelid.
The Manchineel tree is an evergreen widely distributed in tropical regions. The toxic nature of Manchineel has been known since the early sixteenth century. Contact with its
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