Angiolymphoid Hyperplasia with Eosinophilia Involving Rectus Abdominis Muscle: A Case Report

Neves Pereira G1*, Ribeiro D1 , Ramos C2 , Vaz J2 and Saraiva L1

1 Department of Plastic Surgery, Centro Hospitalar Universit?rio Lisboa Norte, Portugal 2 Department of General Surgery, Centro Hospitalar Universit?rio Lisboa Norte, Portugal

^*Correspondance to: Gustavo Neves Pereira 

 PDF  Full Text DOI: 10.25107/2474-1647.3100

Abstract

Introduction: Angiolymphoid Hyperplasia with Eosinophilia (ALHE), also called epithelioid hemangioma, is a rare benign vascular tumor with less than one thousand cases reported worldwide in the literature. It mainly manifests as papules pink to red-brown in the skin in the head and neck. The etiology is unknown, but the histology of the tumor is characteristically referred to as a local proliferation of blood vessels with accompanying tissue infiltration of lymphocytes and eosinophils. The most frequent clinical manifestations are pruritus, pain and bleeding of the tumor, but it can also be asymptomatic. The most effective treatment is surgical excision, even though is high recurrence rates, of almost 50%, with a mean disease-free of 4.2 years. Case Presentation: The authors present a 42 years-old man with a medical controlled HIV infection with an ALHE in the substance of the right rectus abdominis muscle with complaints for as long as one year of pain and loss of appetite (as a consequence of the latter symptom). Two surgical excisions were needed to be done because the first revealed as an incomplete one by the pathology exam. Results: Complete tumoral excision was achieved in the second surgery, but the follow-up was only one year, which is insufficient to consider that the patient is disease-free. Conclusion: Knowing this disease is important as this benign lesion has hard to identify margins leading to a high recurrence rate with surgery, even though it is considered the most effective treatment.

Keywords

Angiolymphoid hyperplasia with eosinophilia; Vascular neoplasms; Rare diseases; Muscle; Skeletal; Rectus abdominis; Excision

Cite the article

Neves Pereira G, Ribeiro D, Ramos C, Vaz J, Saraiva L. Angiolymphoid Hyperplasia with Eosinophilia Involving Rectus Abdominis Muscle: A Case Report. Clin Surg. 2021; 6: 3100..