Kimura disease
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Clinical- East Asian
- Head and neck subcutaneous masses and lymphadenopathy
- 40% have salivary gland involvement
- eosinophilia, elevated IgE
Histology- follicular hyperplasia
- vascular germinal centers and paracortex
- eosinophilic material (IgE) in germinal centers
- eosinophils with microabscesses
Stains- IgE stains germinal centers
Ddx- drug related lymphadenopathy (paracortical hyperplasia)
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