Fite-Trepat Laia, Martos-Fernandez Miriam, Alberola-Ferranti Margarita, Pablo-Garcia-Cuenca Alba De, Bescosatin Coro
Resident, Department of Oral and Maxillofacial Surgery, Vall Hebron Hospital, Barcelona, Spain.
Resident, Department of Oral and Maxillofacial Department, Vall Hebron Hospital, Barcelona, Spain.
J Clin Diagn Res. 2017 Mar;11(3):ZD21-ZD23. doi: 10.7860/JCDR/2017/23323.9569. Epub 2017 Mar 1.
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.
嗜酸性粒细胞增多性血管淋巴样增生（ALHE）是一种主要发生在头颈部的非典型血管肿瘤，必须与木村病相鉴别。病变可表现为单个或多个成组的皮内丘疹或皮下结节。我们报告了一例罕见的ALHE病例，患者为57岁女性，有一个由三个结节组成的大病变，累及右枕动脉，病程较长，我们通过手术切除进行了治疗。最终的组织病理学诊断为ALHE。我们的病例报告还伴有对临床、放射学和组织学特征的讨论。手术切除切缘阴性是首选治疗方法，但尽管ALHE被认为是一种良性疾病，但复发很常见。
