Kimura's disease is a rare autoimmune disease of unrecognized etiology. Due to its unspecific clinical presentation and laboratory studies, Kimura's is a diagnosis of exclusion . A systematic multidisciplinary approach is mandatory to rule out the other common causes of cervicofacial lymphadenopathy. A thorough Histopathological examination including immunohistochemical analysis along with the presence of specific biochemical markers, including raised Absolute eosinophilic count is necessary to conclude the diagnosis as Kimura's Disease. In this article we present a case of a middle aged Asian woman with cervicofacial lymphadenopathy with no associated illness. The above described protocol of clinical, radiological and histolopathological investigations was followed before establishing the final diagnosis of Kimura's. The review of literature on contemporary management and prognosis is discussed.
Disability is defined as a physical or mental condition that limits a person's movements, senses, or activities. Disability can be congenital or acquired. Modern medicine can only help such an individual with a better lifestyle, but can never cure the condition as a whole. As a result, one is forced to live with it through one's lifetime. Blindness/loss of vision is one such condition which is not only taxing physically but also psychologically especially in a young child. The authors present one such case of complete globe avulsion in maxillofacial trauma due to road traffic accident in a 13-year-old young boy. This case report discusses in detail about the etiology, biomechanics associated with orbital fractures, anophthalmic surgeries, and the various implantation options. The authors would also like to stress the importance of decision making regarding preservation of the globe or enucleation in an emergency situation such as this one, where the patient reports with a “popped out” eyeball. An ophthalmologist along with an oral and maxillofacial surgeon plays a significant role in primary management, restoration, and replacement influencing the final treatment outcome.
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