Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare vascular condition characterized by cutaneous papules, plaques or nodules, predominantly located on the head and neck. The main differential diagnosis of ALHE is Kimura's disease. The treatment is a challenge and the gold standard treatment is surgical excision, as relapse is commonly observed. We report a case of a 57-year-old female with ALHE with an unusual clinical improvement at 2-month follow-up after topical corticosteroid without recurrence 12 months after treatment. Due to its rarity, ALHE can be misdiagnosed. In this case, the characteristic lesions in typical location supported our first clinical diagnose, which was confirmed by histological studies. The clinical improvement after topical steroids without recurrence after long period follow-up caught our attention.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.