alexa Case Report: Angiolymphoid Hyperplasia with Eosinophilia of the Nose

Dermatology Case Reports
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Case Report

Case Report: Angiolymphoid Hyperplasia with Eosinophilia of the Nose

Van Ratingen AR*, MMD van der Linden and Sillevis Smitt JH

Academic Medical Center, Department of Dermatology, University of Amsterdam, Amsterdam, Netherlands

Corresponding Author:
Anne R van Ratingen
Academic Medical Center
Department of Dermatology, University of Amsterdam
Meibergdreef 9, 1105 AZ Amsterdam, Netherlands
Tel: 0031 20 5662587
E-mail: [email protected]

Received: October 27, 2015; Accepted: January 13, 2016; Published: January 15, 2016

Citation: Van Ratingen AR, Linden V, Sillevis Smitt JH (2016) Case Report: Angiolymphoid Hyperplasia with Eosinophilia of the Nose. Dermatol Case Rep 1:105. doi:10.4172/dmcr.1000105

Copyright: © 2016 Van Ratingen AR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



We present a case of a 62-year-old woman with a 3-year history of a red indurated plaque on the right ala of the nose, which did not respond to therapy for rosacea. A skin biopsy showed a conglomerate of thick walled vessels with a wide variation of the vessel wall diameter and a cobblestone appearance. Furthermore there were some small infiltrates with eosinophilic granulocytes. The diagnosis of ALHE was made and the patient was referred to a plastic surgeon for excision of the tumour.

ALHE is a rare entity mostly found around the ears. ALHE on the nose is even more rare and could be misdiagnosed as phymatous rosacea. Misdiagnosis can lead to unnecessary treatment with antibiotics and delay of appropriate therapy.


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