Extensive Angiolymphoid Hyperplasia with Eosinophilia with Severe Anemia and Uncontrolled Diabetes Mellitus

Shreya Dass
2018 Biomedical Journal of Scientific & Technical Research  
A 57-year-old male presented with multiple it chypurple raised lesions on left side off ace and scalp for 3 years. Examination revealed multiple soft to firm violaceous papules and nodules, varying in size from 0.5cmto1cm, limited to left side of scalp and face over forehead, periorbital, preauricular, anterior helix, post auricular and beard are as with few excoriations. There was no associated regional lymphadenopathy. Laboratory reports: Haemoglobin=5.7gm%, decreased red cell count and
more » ... ell count and indices, increased red cell distribution width, leukocytosis elevated blood sugars(Fasting Blood Sugar=430mg%),decreased serum ferritin and normal serum Immunoglobulin E (IgE). Histopathology revealed increased thick-walled capillaries and venules in upper dermis surrounded by an infiltrate of lymphocytes and eosinophils with their linings how in gplumpendo the lialcells. High frequency ultra-sonography of affected skin suggested enlarged lymphnodes. Angiolymphoid Hyperplasia with Eosinophiliaisa rare entity; and extensive involvement with severe uncontrolled diabetes mellitus and severe anemia, along withfeaturesoverlappingwithKimura'sdiseasehasnotbeenreportedpreviously.
doi:10.26717/bjstr.2018.04.0001027 fatcat:cfijxjgfbfa6hfnod5khr34eii