Angiolymphoid hyperplasia of external ear treated with intralesional radiofrequency ablation

Abstract

A 21-year-old woman presented with multiple erythematous to skin-coloured dome-shaped firm papules and plaques over the right ear concha and external auditory canal for 1 year. It was associated with occasional itching and bleeding. Her main concern was cosmetic disfigurement. Biopsy showed presence of multiple proliferating blood vessels lined by plump epithelioid endothelial cells surrounded by dense infiltrate of lymphocytes, histiocytes and eosinophils. Other routine investigations were within normal limits. A diagnosis of angiolymphoid hyperplasia with eosinophilia was made. A single sitting of intralesional radiofrequency ablation (Vesalius, coagulation mode; fanning technique) using 18-G intravenous cannula was done. This led to almost complete resolution with no recurrence at 3 months follow-up. There was no evidence of scarring or depigmentation.

Comparative evaluation of therapeutic efficacy and safety of intralesional triamcinolone acetonide injection vs intralesional radiofrequency with intralesional triamcinolone acetonide in treatment of keloids

“…This monotherapy technique of delivering intralesional radiofrequency using iv cannula has been used in other dermatological conditions like lymphangioma circumscriptum, capillary venous malformations, hidradenitis suppurativa as reported by Subadarshani et al, 6 in angiolymphoid hyperplasia of ear as reported by Yadav et al 7 and in papular acne scars over face by Sanke et al 8 …”

“…This monotherapy technique of delivering intralesional radiofrequency using iv cannula has been used in other dermatological conditions like lymphangioma circumscriptum, capillary venous malformations, hidradenitis suppurativa as reported by Subadarshani et al, 6 in angiolymphoid hyperplasia of ear as reported by Yadav et al 7 and in papular acne scars over face by Sanke et al 8 Also Janahi et al has reported an another combination therapy for the treatment of firm and resistant keloids by using fractional ablative laser with a combination of topical application and intralesional injection of TAC with a promising approach. 9 The major limitation of our study was study did not include controls and there may be the possibility of observer's and patient bias during POSAS calculation.…”

A Rare Case of Angiolymphoid Hyperplasia With Eosinophilia With a New Effective Treatment

“…A single sitting of intralesional radiofrequency ablation led to almost complete resolution of ALHE of the ear with no recurrence at three-month follow-up [ 8 ]. However, we did not have this option available in our hospital to implement it on our patient.…”