Pinna Swelling an Angiolymphoid Hyperplasia with Eosinophilia: A Rare Case Report.
Angiolymphoid hyperplasia with eosinophilia is a benign, locally proliferating lesion, which usually affects middle-aged women.
Which most of the time affects the preauricular area and scalp. Other common sites include oral mucosa, pharynx, and orbit lesions present as an erythematous and hyperpigmented lesions.
ALHE is a rare benign tumor which is clinically manifested by the presence of dermal papules or nodules measuring about 2-3 cm, varying in color from light brown to pink.
The lesions occur preferentially on the face, scalp, auricular region, and neck. There seems to be a higher incidence in females and lesions are more common in patients aged 20-50-years.
Its pathogenesis remains unknown. Some authors believe that the damage would be due to a vascular tumor. Others claim that they could represent a reaction to vascular tissue injuries such as skin trauma, infections, or hormonal imbalance.
Some recent studies tend to consider it as a vascular malformation secondary to a subcutaneous arteriovenous shunt, but the hypothesis most widely accepted is that it is a reactive vascular hyperplasia to various stimuli.
A twenty-four-year-old female patient reported to our ear, nose and throat hospital out-patient department with chief complaints of left pinna swelling since 7-years.
and intermittent itching present over pinna swelling with getting relieved on medications and topical application of steroids. Initially, swelling was very small started as papule 7-years back gradually it gets increased to present size.
The patient visited many general practitioners for the swelling but after giving primary treatment of medications and steroid ointment for applications swelling get regressed for some time but later on it recurs.
We recommended fine needle aspiration cytology of the swelling after a thorough examination.
Otolaryngol Open J. 2021; 7(1): 4-6. doi: 10.17140/OTLOJ-7-163