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Philip D. Shenefelt, MD; Margaret Rinker, MD; Stephanie Caradonna, MD
From the University of South Florida, Tampa (Drs Shenefelt and Rinker), and University of Florida, Gainesville (Dr Caradonna)

Arch Dermatol. 2000;136:837-839.

	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 52-year-old white woman presented with a 1-year history of pruritic, erythematous nodules on her right ear and preauricular area (Figure 1). The lesions had a tendency to bleed after minor trauma and had been gradually increasing in size and number. A biopsy was performed, and the findings were consistent with the diagnosis of angiolymphoid hyperplasia with eosinophilia (ALHE).

Figure appears in full text version. Figure 1. Angiolymphoid hyperplasia with eosinophilia on the patient's right ear before intralesional interferon alfa-2a therapy.

The patient was initially treated with a combination of intralesional triamcinolone acetonide and cryosurgery, at 1- to 4-month intervals. The triamcinolone acetonide therapy was started with 1 to 2 mL intralesionally at 5 mg/mL, and the concentration was gradually increased to 20 mg/mL. The patient's response was variable, with improvement seen at some visits and worsening noted at others. After 1 years, and . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT