Al-Qattan Mohammad M, Arafah Maha, Al-Marshad Felwa
Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia.
Department of Pathology, King Saud University, Riyadh, Saudi Arabia.
Int J Surg Case Rep. 2017;39:84-87. doi: 10.1016/j.ijscr.2017.08.007. Epub 2017 Aug 10.
Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare benign reactive inflammatory lesion. The usual presentation is a single or multiple skin nodules of the head and neck. Involvement of the hand is very rare and there have been no comprehensive reviews on ALHE of the upper limb. In this paper, we report on a case involving the common digital artery of the hand. We also review the literature and offer two classification systems for upper limb lesions: One according to the primary structure involved, and the other according to the presentation with either single or multiple lesions.
A 32-year old female presented with a slowly growing subcutaneous mass at the second web space of the left hand. The mass was neither tender or mobile. An MRI showed a tri-lobed soft tissue lesion. At the time of surgery, the lesion was found to be within the common digital artery of the second web space. Complete excision was done. Histopathology confirmed the diagnosis of ALHE There has been no recurrence or cold tolerance at final follow-up 1year later.
We offer two classification systems for upper limb lesions: One according to the primary structure involved, and the other according to the presentation with either a single or multiple lesions.
A rare case of ALHE of the hand is presented. The literature is reviewed and two classification systems for upper limb lesions are offered and their implications are discussed.
嗜酸性粒细胞增多性血管淋巴样增生（ALHE）是一种罕见的良性反应性炎症性病变。通常表现为头颈部的单个或多个皮肤结节。手部受累非常罕见，目前尚无关于上肢ALHE的全面综述。在本文中，我们报告了一例累及手部指总动脉的病例。我们还回顾了相关文献，并提供了两种上肢病变的分类系统：一种根据受累的主要结构，另一种根据单发或多发病变的表现。
一名32岁女性，左手第二指蹼间隙出现一个缓慢生长的皮下肿块。该肿块既不压痛也不活动。磁共振成像（MRI）显示一个分叶状软组织病变。手术时发现病变位于第二指蹼间隙的指总动脉内。进行了完整切除。组织病理学确诊为ALHE。1年后的最终随访显示无复发且手部耐寒能力正常。
我们提供了两种上肢病变的分类系统：一种根据受累的主要结构，另一种根据单发或多发病变的表现。
本文报告了一例罕见的手部ALHE病例。回顾了相关文献，提供了两种上肢病变的分类系统并讨论了其意义。
