嗜酸性粒细胞增多性血管淋巴样增生1例

One case of angiolymphoid hyperplasia with eosinophilia

嗜酸性粒细胞增多性血管淋巴样增生(angiolymphoid hyperplasia with eosinophilia,ALHE)是一种良性血管性损害,本病病因及发病机制不清,曾被称为非典型性化脓性肉芽肿、假性化脓性肉芽肿、炎症性动脉血管瘤、上皮样血管瘤等。我院收治了1例ALHE患者,经组织病理检查表现为:表皮角化不全,棘层肥厚,真皮内血管增生,血管内皮细胞呈立方形,胞浆红染,可见空泡,间质中淋巴细胞、组织细胞和嗜酸性粒细胞浸润,并最终诊断为嗜酸性粒细胞增多性血管淋巴样增生。本文通过对此例病例的临床情况和病理检查结果进行总结分析,为临床诊断和治疗提供参考。

Eosinophilic hyperplasia with eosinophilia （ALHE） is a henign vascular damage, he etiology and pathogenesis of this disease is unclear.ALHE has been called atypical suppurative granuloma, pseudo-purulent granuloma, inflammatory, arterial hemangioma, epithelioid hemangioma and so on. This paper aims to repnrl one case of ALHE diagnosed in our hospital. One case of angiolymphoid hyperplasia with eosinophilia （ALHE）was treated in our hospital. Histopathological examination showed that： dyskeratosis, thickening of the epidermis,dermis vascular hyperplasia, and vascular endothelial cells were cuboidal, vacuole,interstitial lymphocyles, histiocytes and eosinophil infiltration. According to the clinical and pathological examination, the final diagnosis was angiolymphoid hyperplasia with eosinophilia. In this paper, the clinical conditions and the pathological resuhs of this case were analyzed, providing a reference for clinical diagnosis.