Kimura's disease with oral ulcers: Response to pentoxifylline

We describe a man with Kimura's disease whose presentation included lymphad enopathy and cutaneous nodules, but was most distinctive for painful oral u lcerations. His lesions showed an initially moderate, but ultimately minima l response to monthly triamcinolone injections. With oral pentoxyifylline, he showed resolution of all of his lesions for 14 months. On cessation of h is treatment, his disease flared for 3 months. When pentoxyifylline was res tarted, his lesions regressed again within 4 weeks. We review the literatur e on Kimura's disease.