{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:43:47Z","timestamp":1790628227128,"version":"4.1.0"},"reference-count":10,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,12]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>A male patient in his 20s presented with right lower eyelid swelling and occasional eye ache that was first noticed 3 years ago. Ocular examination revealed a palpable orbital mass, proptosis and restriction of right eye movement. The best-corrected visual acuity in the right eye was 6\/24. Fundus examination revealed optic disc hyperemia with a blurred disc margin. Rest ocular examination of both eyes was within normal limits. Haematological examination revealed raised TLC, ESR and eosinophilia. MRI showed a relatively well-defined isointense to hypointense lesion showing heterogeneously post-contrast enhancement involving the belly of the inferior rectus muscle of the right eye. FNAC and histopathology confirmed a diagnosis of Kimura\u2019s disease. Oral leflunomide 10\u2009mg\/day and prednisolone 40\u2009mg was advised. The swelling started to decrease within 2\u2009weeks of treatment. At 2 months follow-up, the swelling and mass resolved completely and the patient was asymptomatic.<\/jats:p>","DOI":"10.1136\/bcr-2024-262899","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T12:25:22Z","timestamp":1734697522000},"page":"e262899","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Kimura\u2019s disease: a mysterious orbital mass"],"prefix":"10.1136","volume":"17","author":[{"given":"Niraj Kumar","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nibha","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bandana","family":"Mehrotra","sequence":"additional","affiliation":[{"name":"RML, Pathology, Lucknow, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apjit","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"2025082723403852000_17.12.e262899.1","unstructured":"Ioachim H , Ratech H . 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