Angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case report.
Angiolymphoid hyperplasia
Collagen-based artificial skin
Eosinophilia
Reverse palmar digital island flap
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
27 Mar 2019
27 Mar 2019
Historique:
received:
08
08
2018
accepted:
18
02
2019
entrez:
28
3
2019
pubmed:
28
3
2019
medline:
4
9
2019
Statut:
epublish
Résumé
Angiolymphoid hyperplasia with eosinophilia is a rare nodular skin tumor characterized by eosinophilic invasion and vascular proliferation. Previous reports suggested that irritation and inflammation are the causative factors of this disease. Most cases of angiolymphoid hyperplasia with eosinophilia occur around the auricle, forehead, and scalp; the hand is rarely affected. Moreover, the tumor seldom presents as multiple nodules. A 67-year-old Japanese woman presented with a complaint of skin masses on her left thumb and index finger, which had gradually grown in size over the past few months. A biopsy was performed confirming a diagnosis of angiolymphoid hyperplasia with eosinophilia. The aponeurosis on her index finger was resected and tissue was reconstructed using a reverse palmar digital island flap harvested from the base of her index finger. The thumb lesion was also resected and covered with collagen-based artificial skin. Gradual progression of skin epithelialization followed by healing was noted 2 months after the surgery. Angiolymphoid hyperplasia with eosinophilia is a rare tumor; it is seldom seen in the hands. It is generally treated by surgical resection. It is important to resect a sufficiently large area of the tissue due to the possibility of relapse in some cases. Furthermore, appropriate reconstruction is mandatory after wide margin tumor resection.
Sections du résumé
BACKGROUND
BACKGROUND
Angiolymphoid hyperplasia with eosinophilia is a rare nodular skin tumor characterized by eosinophilic invasion and vascular proliferation. Previous reports suggested that irritation and inflammation are the causative factors of this disease. Most cases of angiolymphoid hyperplasia with eosinophilia occur around the auricle, forehead, and scalp; the hand is rarely affected. Moreover, the tumor seldom presents as multiple nodules.
CASE PRESENTATION
METHODS
A 67-year-old Japanese woman presented with a complaint of skin masses on her left thumb and index finger, which had gradually grown in size over the past few months. A biopsy was performed confirming a diagnosis of angiolymphoid hyperplasia with eosinophilia. The aponeurosis on her index finger was resected and tissue was reconstructed using a reverse palmar digital island flap harvested from the base of her index finger. The thumb lesion was also resected and covered with collagen-based artificial skin. Gradual progression of skin epithelialization followed by healing was noted 2 months after the surgery.
CONCLUSION
CONCLUSIONS
Angiolymphoid hyperplasia with eosinophilia is a rare tumor; it is seldom seen in the hands. It is generally treated by surgical resection. It is important to resect a sufficiently large area of the tissue due to the possibility of relapse in some cases. Furthermore, appropriate reconstruction is mandatory after wide margin tumor resection.
Identifiants
pubmed: 30914066
doi: 10.1186/s13256-019-2021-z
pii: 10.1186/s13256-019-2021-z
pmc: PMC6436222
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
87Références
Arch Dermatol. 1999 Apr;135(4):464-5, 467-8
pubmed: 10206057
Surv Ophthalmol. 1999 Jul-Aug;44(1):79-91
pubmed: 10466591
J Cutan Pathol. 1999 Oct;26(9):436-40
pubmed: 10563499
Hum Pathol. 2002 Oct;33(10):1023-9
pubmed: 12395376
Br J Plast Surg. 2003 Mar;56(2):168-70
pubmed: 12791366
J Eur Acad Dermatol Venereol. 2004 Sep;18(5):584-5
pubmed: 15324400
Br J Dermatol. 2005 May;152(5):1033-8
pubmed: 15888166
Br J Oral Maxillofac Surg. 2005 Jun;43(3):249-52
pubmed: 15888362
Br J Plast Surg. 2005 Sep;58(6):865-8
pubmed: 16086996
Arch Pathol Lab Med. 2005 Sep;129(9):1168-71
pubmed: 16119993
J Eur Acad Dermatol Venereol. 2007 Sep;21(8):1106-7
pubmed: 17714135
Diagn Pathol. 2008 May 29;3:22
pubmed: 18510751
Orbit. 2008;27(3):195-8
pubmed: 18569828
Hum Pathol. 1991 Aug;22(8):837-9
pubmed: 1869268
Mod Pathol. 1991 Jul;4(4):449-55
pubmed: 1924276
Clin Orthop Relat Res. 2010 Jun;468(6):1722-5
pubmed: 19609628
Cutis. 2011 Sep;88(3):122-8
pubmed: 22017064
Actas Dermosifiliogr. 2014 Mar;105(2):e1-6
pubmed: 23845664
J Am Acad Dermatol. 2016 Mar;74(3):506-12.e11
pubmed: 26685720
Clin Infect Dis. 2016 Jun 1;62(11):1419-21
pubmed: 26962076
Cutis. 1989 Aug;44(2):147-50
pubmed: 2758864
J Clin Diagn Res. 2017 Mar;11(3):ZD21-ZD23
pubmed: 28511526
Int J Surg Case Rep. 2017;39:84-87
pubmed: 28822892
J Am Acad Dermatol. 1988 Aug;19(2 Pt 1):345-9
pubmed: 3139722
Arch Dermatol. 1979 Feb;115(2):205-7
pubmed: 426531
Arch Dermatol. 1971 Jan;103(1):50-7
pubmed: 5539503
Br J Dermatol. 1969 Jan;81(1):1-14
pubmed: 5763634