Angiolymphoid Hyperplasia with Eosinophilia: A Case Report

Angiolymphoid hyperplasia with eosinophilia (ALHE) is an uncommon benign vascular neoplasm with unclear pathogenesis that typically occurs in adults. Usually presents as a group of several red-brown or violaceous skin papulo-nodules in a localized area. Usually occurs on the head or neck, and the ears are a particularly common location. In our case we describe an elderly male with more than 50 in number of papules and nodules involving a wide area of the scalp and neck range from 0.3 mm to around one cm in diameter. Histological examination of skin lesion showed dermal vascular proliferation, lined with plump endothelial cells and surrounded by inflammatory cells. Clinical and histological examination was consistent with ALHE. The management was done by removing most of lesions by curettage and cauterization of the base. Recurrence is expected with any treatment modality but in this case in addition to recurrence, new lesions appeared.