Angiolymphoid Hyperplasia With Temporal Artery Eosinophilia: A Case Report.

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE Vascular and Endovascular Surgery Pub Date : 2024-01-01 Epub Date: 2023-06-28 DOI:10.1177/15385744231184333

Ricardo Augusto Carvalho Lujan, Diego Antonio de Melo Mascarenhas, Maurício de Amorim Aquino, Aline Costa Menezes, Marcelo Luis Pereira de Souza Filho, Fernanda Costa Sampaio Silva, Miguel Godeiro Fernandez, Carlos Alberto Silveira Alves, Roque Aras Júnior

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Abstract

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.

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血管淋巴样增生伴颞动脉嗜酸性粒细胞增多1例。

血管淋巴样增生伴嗜酸性粒细胞增多症(ALHE)是一种病因和发病机制不明确的良性血管增生性疾病。本文的目的是报告一例颞动脉ALHE，并讨论了这种病理的一般方面。一名29岁的黑人女性患者到血管外科门诊就诊，主诉右侧颞区肿胀，伴有疼痛和局部不适。体格检查显示右侧颞区搏动性隆起，约2.5 × 1.5 cm。核磁共振示右侧颞区浅表软区呈膨大梭状病变，长纵轴2.9 cm。在这种情况下，手术切除被证明是最好的治疗选择。组织病理切片显示不同大小的血管增生，被肿胀的内皮覆盖，明显的由淋巴细胞、浆细胞、嗜酸性粒细胞和少量组织细胞组成的炎症浸润。病变免疫组化分析显示CD31阳性，证实ALHE的诊断。

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).