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Tiffani K. Hamilton, MD; Richard D. Baughman, MD; Ann E. Perry, MD
Dartmouth-Hitchcock Medical Center, Lebanon, NH

Arch Dermatol. 1999;135:463-468.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 48-year-old woman presented with a 6-month history of a pruritic lesion on the left helix. The lesion was initially thought to be caused by irritation from her glasses and was treated with topical fluocinonide ointment and a course of oral cephalexin, without resolution. The patient had no other systemic complaints and was otherwise healthy.

Physical examination revealed a 1.3 x 0.8-cm, red to violaceous, firm, nontender plaque on the medial portion of the left helix (Figure 1). A punch biopsy specimen was obtained (Figure 2 and Figure 3).

Figure 1.

Figure 2.

Figure 3.

What is your diagnosis?

Diagnosis: Angiolymphoid hyperplasia with eosinophilia (ALHE).

The punch biopsy specimen from the left helix showed a mixed inflammatory dermal infiltrate with lymphocytes and numerous eosinophils and proliferation of blood vessels with plump endothelial cells protruding into the lumen. The overlying epidermis . . . [Full Text of this Article]

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