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

  • Heo, Woon (Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Jun, Hee Jae (Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kang, Do Kyun (Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Min, Ho-Ki (Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Hwang, Youn-Ho (Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Ji Yong (Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Nam, Kyung Han (Department of Pathology, Inje University Haeundae Paik Hospital, Inje University College of Medicine)
  • Received : 2016.05.30
  • Accepted : 2016.08.30
  • Published : 2017.04.05

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.

Keywords

References

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