Key result
Excision followed by corticosteroids and radiotherapy manages angiolymphoid hyperplasia with eosinophilia in a 33-year-old.
Why the study?
Angiolymphoid hyperplasia with eosinophilia is rare, with an unclear pathogenesis and etiology, often presenting challenges in diagnosis and management.
Case Report (n=1)
Case report describing the management of angiolymphoid hyperplasia with eosinophilia using excision, corticosteroids, and radiotherapy.
Supports excision plus intralesional steroids/radiotherapy for rare pinna ALHE; leaves open optimal standardized approach pending higher-level evidence.
Angiolymphoid hyperplasia with eosinophilia (ALHE) is characterized by single or multiple nodular lesions without encapsulation, predominantly in the head-and-neck region. The ear, face, and scalp are the most affected areas, and approximately, one-third of patients have lesions on the ear. ALHE often presents as reddish-brown nodules that may bleed, itch, or be painful. However, some patients are asymptomatic. The pathogenesis of ALHE remains unclear, but its etiology has been suggested to be idiopathic or to result from trauma or immunization. These lesions often pose challenges in both diagnosis and management due to their rarity. A 33-year-old patient reported to our institute with complaints of enlarging masses over the right ear pinna for the past 2 years. In this case, right ear mass excision was done followed by intralesional corticosteroids and radiotherapy.
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Landge et al. (2025) conducted a case report in Angiolymphoid hyperplasia with eosinophilia (n=1). Mass excision, intralesional corticosteroids, and radiotherapy was evaluated. Right ear mass excision followed by intralesional corticosteroids and radiotherapy was performed in a 33-year-old patient with angiolymphoid hyperplasia with eosinophilia.
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