Angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case report
Abstract 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 hyperplas...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s13256-019-2021-z |
| _version_ | 1818279828011352064 |
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| author | Naohiro Oka Shunji Nishimura Hiroki Tanaka Kazuhiko Hashimoto Ryosuke Kakinoki Masao Akagi |
| author_facet | Naohiro Oka Shunji Nishimura Hiroki Tanaka Kazuhiko Hashimoto Ryosuke Kakinoki Masao Akagi |
| author_sort | Naohiro Oka |
| collection | DOAJ |
| description | Abstract 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 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 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. |
| first_indexed | 2024-12-12T23:39:31Z |
| format | Article |
| id | doaj.art-080f84157b0f44e89d1eabfd440b5447 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-12T23:39:31Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-080f84157b0f44e89d1eabfd440b54472022-12-22T00:07:15ZengBMCJournal of Medical Case Reports1752-19472019-03-011311610.1186/s13256-019-2021-zAngiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case reportNaohiro Oka0Shunji Nishimura1Hiroki Tanaka2Kazuhiko Hashimoto3Ryosuke Kakinoki4Masao Akagi5Department of Orthopedic Surgery, Kindai University HospitalDepartment of Orthopedic Surgery, Kindai University HospitalDepartment of Orthopedic Surgery, Kindai University HospitalDepartment of Orthopedic Surgery, Kindai University HospitalDepartment of Orthopedic Surgery, Kindai University HospitalDepartment of Orthopedic Surgery, Kindai University HospitalAbstract 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 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 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.http://link.springer.com/article/10.1186/s13256-019-2021-zAngiolymphoid hyperplasiaEosinophiliaReverse palmar digital island flapCollagen-based artificial skin |
| spellingShingle | Naohiro Oka Shunji Nishimura Hiroki Tanaka Kazuhiko Hashimoto Ryosuke Kakinoki Masao Akagi Angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case report Journal of Medical Case Reports Angiolymphoid hyperplasia Eosinophilia Reverse palmar digital island flap Collagen-based artificial skin |
| title | Angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case report |
| title_full | Angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case report |
| title_fullStr | Angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case report |
| title_full_unstemmed | Angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case report |
| title_short | Angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin: a case report |
| title_sort | angiolymphoid hyperplasia with eosinophilia in a hand treated with a reverse digital island flap and artificial skin a case report |
| topic | Angiolymphoid hyperplasia Eosinophilia Reverse palmar digital island flap Collagen-based artificial skin |
| url | http://link.springer.com/article/10.1186/s13256-019-2021-z |
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