本文报道1例外耳木村氏病。患者为白人女性,因右耳郭及外耳道多发性无痛皮下结节入院,无外伤虫咬或感染史。患处发痒并有自发性出血。手术切除4个月后病变复发。组织学检查:病变限于真皮和皮下组织,主要病变为血管增生和扩张,血管之间互相交通,有异常的内皮细胞;基质中有淋巴细胞,嗜酸性细胞和肥大细胞,尤以血管周围淋巴细胞浸润为著。诊断为伴有嗜酸性细胞增多的血管淋巴增生症,即木村氏病。一年后右耳病变复发,经用皮质激素治疗效果满意。 This article reports one exception to Auroshimura’s disease. The patient was a white woman who was hospitalized with multiple subcutaneous nodules with no pain in the right ear and external auditory canal. There was no history of traumatic insect bite or infection. The affected area is itchy and has spontaneous bleeding. Surgical resection occurred 4 months later. Histological examination: lesions confined to the dermis and subcutaneous tissue, the main lesions are vascular hyperplasia and dilation, blood vessels communicate with each other, abnormal endothelial cells; lymphocytes in the matrix, eosinophils and mast cells, especially perivascular lymphocytes Infiltration is. It is diagnosed as vascular lymphoprolasia with eosinophilia, namely, Kimura’s disease. One year later, right ear lesions recurred and were treated with corticosteroids with satisfactory results.