Abstract

Case of Angiolymphoid Hyperplasia with Eosinophilia Associated with Anti-TNF Inhibitor

Highlights

  • Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare, benign, and insidious condition that presents as nodules, papules, and plaques that involve the dermis, subcutaneous tissue, and adjacent lymph nodes [1]

  • When he was diagnosed with rheumatoid arthritis, the salsalate was replaced with prednisone 60 mg by mouth once daily and methotrexate 12.5 mg by mouth once weekly

  • Palmoplantar pustular psoriasis has been associated with etanercept use, while leukocytoclastic vasculitis, pustular folliculitis, and psoriasiform dermatitis have been associated with infliximab use [3]

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Summary

Introduction

Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare, benign, and insidious condition that presents as nodules, papules, and plaques that involve the dermis, subcutaneous tissue, and adjacent lymph nodes [1]. It is typically seen in adults, and its etiology is unknown [1]. It is most often located at the head or neck, rare cases have involved the torso and genitals [1] Histological studies of this condition reveal proliferation of small to mediumsized blood vessels, often forming a lobular architecture [1]. They are lined by enlarged endothelial cells, which can occlude arteries and create a cobblestone appearance under microscopic examination [1]

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