Angiolymphoid Hyperplasia with Eosinophilia Involving the Occipital Artery: Case Report and Review of Literature
Published: March 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/23323.9569
Laia Fite-Trepat, Miriam Martos-Fernandez, Margarita Alberola-Ferranti, Alba De Pablo-Garcia-Cuenca, Coro Bescosatin
1. Resident, Department of Oral and Maxillofacial Surgery, Vall Hebron Hospital, Barcelona, Spain.
2. Resident, Department of Oral and Maxillofacial Department, Vall Hebron Hospital, Barcelona, Spain.
3. Pathologist, Department of Pathology, Vall Hebron Hospital, Barcelona, Spain.
4. Assistant Surgeon, Department of Oral and Maxillofacial Surgery, Vall d’Hebro´n Hospital, Barcelona, Spain.
5. Head, Department of Oral and Maxillofacial Surgery, Vall d’Hebro´n Hospital. Barcelona, Spain.
Correspondence
Dr. Laia Fite-Trepat,
Departamento De Cirugía Oral y Maxilofacial,
Planta 9 Passeig de la Vall d’Hebrón, 119 -129 08035 -Barcelona, Spain.
E-mail: laiafitetrepat@gmail.com
Angiolymphoid Hyperplasia with Eosinophilia (ALHE) is an atypical vascular tumour occurring primarily in the head and neck area, which must be distinguished from Kimura’s disease. The lesions can appear as single or multiple grouped intradermal papules or subcutaneous nodules. We report a rare case of ALHE in a 57-year-old female with a large lesion of three nodules involving the right occipital artery which had a long term evolution and we treated it by surgical excision. The definitive histopathological diagnosis was ALHE. Our case report is accompanied by a discussion of clinical, radiological and histological features. Surgical excision with free margins is the treatment of choice but, even though ALHE is considered a benign condition, recurrence is common.
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