Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Angiolymphoid Hyperplasia with Eosinophilia in the Auricle and External Ear: A Case Report

Articles in Press

Document Type : Case Report

Authors
Mir Mohammad Jalali 1
Maryam Akbari 2
Amir Ammar 2
1 Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
2 Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, School of Medicine, Guilan University of Medical Sciences, Amiralmomenin Hospital, Rasht, Iran.
10.22038/ijorl.2026.95304.4143
Abstract
Introduction:
Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare, benign condition of unknown cause. It presents with red, purple, or brown bumps, patches, or lumps that develop in the skin or under the skin. It often appears in the head and neck area and near the ears.
Case Report:
A 42-year-old woman presented with multiple red lesions in the area around the ear. The patient had a history of treatment with steroid cream and steroid injections into the lesion, but there was no improvement. The initial biopsy was folliculitis, and the final pathology report reported ALHE.
Conclusion:
Surgical treatment resulted in improvement. ALHE should be considered as a potential diagnosis when a patient presents with isolated, well-defined bumps that look like blood vessels and may have a broken surface (ulcer) or crust. Despite ongoing research, questions regarding the etiology and pathogenesis of ALHE remain unanswered, and it requires further studies.
Keywords
Angiolymphoid hyperplasia with eosinophilia
External auditory canal
Auricle
Subjects
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Iranian Journal of Otorhinolaryngology

Articles in Press, Corrected Proof
Available Online from 26 August 2026