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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1778 - 22 March - Dr Hafeez Diwan Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Clinical History: 27 year-old female with a recurrent left ala nasi nodule.

Case Posted by Dr Hafeez Diwan


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vincenzo polizzi

Posted

A nice case of Angiolymphoid Hyperplasia with Eosinophils. 

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Raul Perret

Posted

I also thought epithelioid hemangioma. To my eyes, the endothelial changes are subtle in this case and there is a very prominent lymphoid infiltrate with germinal centers that you can see in this entity but are more frequent in Kimura's so should consider it in the differential (asian, lymphadenopathy?). On the other hand the history of recurrence is puzzling, so I guess we could add cutaneous pseudolymphoma to the differential.

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Dr. Mona Abdel-Halim

Posted

Agree with Vincenzo and Raul 

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Robledo F. Rocha

Posted

Agree with the above discussion. I tend to interpret angiolymphoid hyperplasia with eosinophilia and Kimura’s disease as different entities, the former being a proliferative vascular disorder with a less extensive inflammatory infiltrate, and the later being a systemic inflammatory process with less extensive vascular abnormalities. Applying this attempt of a mnemonic pun, Kimura’s disease is the most likely diagnosis. However, as diseases do not use to read textbooks of medicine, microscopic features of both entities usually overlap in such a manner that the most advisable is establish the definitive diagnosis after clinicopathological correlation.

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Dr. Hafeez Diwan

Posted

I called this angiolymphoid hyperplasia with eosinophilia.  

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