Angiolymphoid Hyperplasia With Temporal Artery Eosinophilia: A Case Report.

Autor: Carvalho Lujan RA; Vascular Surgery Division, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, Bahia, Brazil., de Melo Mascarenhas DA; Vascular Surgery Division, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, Bahia, Brazil., de Amorim Aquino M; Vascular Surgery Division, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, Bahia, Brazil., Costa Menezes A; Vascular Surgery Division, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, Bahia, Brazil., Pereira de Souza Filho ML; Pathology Division, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, Bahia, Brazil., Costa Sampaio Silva F; Postgraduate Program in Medicine and Health, Faculty of Medicine of Bahia, Federal University of Bahia, Salvador, Bahia, Brazil., Godeiro Fernandez M; Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil., Silveira Alves CA; Vascular Surgery Division, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, Bahia, Brazil., Aras Júnior R; Postgraduate Program in Medicine and Health, Faculty of Medicine of Bahia, Federal University of Bahia, Salvador, Bahia, Brazil.
Jazyk: angličtina
Zdroj: Vascular and endovascular surgery [Vasc Endovascular Surg] 2024 Jan; Vol. 58 (1), pp. 95-99. Date of Electronic Publication: 2023 Jun 28.
DOI: 10.1177/15385744231184333
Abstrakt: Angiolymphoid Hyperplasia with Eosinophilia (ALHE) is a benign vascular proliferative disorder with uncertain etiology and pathogenesis. The aim of this paper is to report a case of ALHE in the temporal artery and discuss the general aspects of this pathology. A 29-year-old female black patient sought the Vascular Surgery Outpatient Service, complaining of bulging in the right temporal region, associated with pain and local discomfort. Physical examination revealed pulsatile bulging in the right temporal region measuring approximately 2.5 × 1.5 cm. Nuclear Magnetic Resonance showed an expansive fusiform lesion in the superficial soft parts of the right temporal region, measuring 2.9 cm in the longest longitudinal axis. Surgical excision proved to be the best therapeutic option for the patient in this case. Histopathological sections showed the proliferation of vessels of different sizes, covered by swollen endothelium, prominent inflammatory infiltrate composed of lymphocytes, plasma cells, eosinophils, and scarce histiocytes. Immunohistochemical analysis of the lesion showed positivity for CD31, corroborating the diagnosis of ALHE.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE