Korean J Thorac Cardiovasc Surg.  2017 Apr;50(2):114-118. 10.5090/kjtcs.2017.50.2.114.

Acute Limb Ischemia and Coronary Artery Disease in a Case of Kimura's Disease

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Korea. cs523@dreamwiz.com
  • 2Department of Pathology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Korea.

Abstract

Kimura disease (KD) is an immune-mediated chronic inflammatory disease of unknown etiology. KD has many complications associated with hypereosinophilia, including various forms of allergic reactions and eosinophilic lung disease. Additionally, hypereosinophilia is associated with hypercoagulability, which may lead to thromboembolic events. A 36-year-old man with KD presented with acute limb ischemia and coronary artery occlusion. He underwent thrombectomy, partial endarterectomy of both popliteal arteries, and coronary artery stent insertion. KD is a systemic disease that affects many organs and presents with thromboembolism and vasculitis. In a patient with KD, physicians should evaluate the vascular system, including the coronary arteries.

Keyword

Angiolymphoid hyperplasia with eosinophilia; Acute limb ischemia; Coronary artery stenosis

MeSH Terms

Adult
Angiolymphoid Hyperplasia with Eosinophilia
Coronary Artery Disease*
Coronary Stenosis
Coronary Vessels*
Endarterectomy
Eosinophils
Extremities*
Humans
Hypersensitivity
Ischemia*
Lung Diseases
Popliteal Artery
Stents
Thrombectomy
Thromboembolism
Thrombophilia
Vasculitis
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