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.