1 / 17

Case25: 35 y.o. Female. Lesion on the ear. Haemangioma? Lymphoma? Psudolymphoma? Spitz tumour?

Case25: 35 y.o. Female. Lesion on the ear. Haemangioma? Lymphoma? Psudolymphoma? Spitz tumour?. CASE 25- RC. CASE 25 - RC. Haemangioma Angiolymphoid hyperplasia with eosinophilia Kaposi’s sarcoma Fibroma Scar. CASE 25 - RC. Haemangioma Angiolymphoid hyperplasia with eosinophilia

easter
Download Presentation

Case25: 35 y.o. Female. Lesion on the ear. Haemangioma? Lymphoma? Psudolymphoma? Spitz tumour?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Case25: 35 y.o. Female. Lesion on the ear. Haemangioma? Lymphoma? Psudolymphoma? Spitz tumour?

  2. CASE 25- RC

  3. CASE 25 - RC • Haemangioma • Angiolymphoid hyperplasia with eosinophilia • Kaposi’s sarcoma • Fibroma • Scar

  4. CASE 25 - RC • Haemangioma • Angiolymphoid hyperplasia with eosinophilia • Kaposi’s sarcoma • Fibroma • Scar

  5. Past Medical History Asthma Hayfever Allergy to cats and dogs Urticaria Drug History Loratidine Cetirizine Neoclarityn Levocetirizine Salbutamol inh Allergy to penicillin

  6. FBC Eosinophils: 0.39 IgE 1667 (0-120) U&Es, LFTs, ESR normal MRI head No arteriovenous malformation Investigations

  7. ALHE • Aetiology • Unknown • ?arteriovenous shunts • Gender • Females > males • Age • 30-50 y.o. • Site • Head and neck • Morphology • Dermal papules, nodules, plaques • Subcutaneous nodules Br J Derm 1969, 81:1-15, Br J Derm 1969, 81:804-816, J Am Acad Dermatol 1985, 12:781-796

  8. Differential Diagnoses • Inflammatory angiomatous nodules • Pyogenic granuloma • Histiocytoid hemangioma • Kaposi’s sarcoma • Pseudolymphoma (lymphoid hyperplasia) • Cutaneous lymphoma • Kimura disease

  9. Adapted from: Head and Face Medicine 2006, 2:32

  10. Kimura’s

  11. Surgical excision Cryotherapy Curettage and Electrodessication Laser (argon, carbon dioxide, PDL, copper vapor) Radiotherapy Tacrolimus 0.1% ointment Intralesional corticosteroids Oral retinoids Topical imiquimod Photodynamic therapy Intralesional bleomycin Treatment of ALHE Dermatol Surg 2005, 31:713-16, J Dermatolog Treat 2004, 15(5):328-330, Dermatol Surg 2004, 30: 1169-1173, Dermatology 1998, 197: 189-191, J Am Acad Dermatol. Aug 2003;49 (2 Suppl Case Reports): S195-6, Clin Exp Dermatol 2009, June 17: Epub…..ahead of print

  12. Management in our patient • ‘08: Nd:YAG laser • ‘08, ‘09: Tacrolimus 0.1% ointment • ‘09: electrodessication • ’09: Surgical excision • ’09: Topical Fluocinolone acetonide • ’09: Intralesional triamcinolone (40mg/1ml)

More Related