Bilateral orbital Kimura's disease

The authors present the case of a 62-year-old man who was shown to have bilateral Kimura's disease of the orbit. The patient complained of bilateral lid swelling for two years prior to his presentation. Orbital biopsies demonstrated angiolymphoid hyperplasia with eosinophilia-Kimura's disease. He subsequently was started on oral steroids but the disease process was recalcitrant, and required orbital radiation. This latter modality proved more effective in controlling his symptoms, and the amount of proptosis. Debulking surgery, however, was also required. This is the second reported case of bilateral orbital Kimura's discase in a Caucasian.