Successful Treatment of Angiolymphoid Hyperplasia with Eosinophilia Associated with Scalp Demodicosis Using Cryotherapy and Topical Metronidazole

Authors

Khamis M Al Hasani, Dental and Maxillofacial Surgery Department, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman
Abdulaziz A. Bakathir, Dental and Maxillofacial Surgery Department, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman
Ahmed K. Al-Hashmi, Dental and Maxillofacial Surgery Department, Al-Nahdha Hospital, Muscat, Oman
Abdullah M. Albakri, Dental Department, Royal Oman Police Hospital, Muscat, Oman

Abstract

Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare, benign, vasoproliferative tumour. We report a 25-year-old female patient who reported in 2021 to the dermatology clinic, with multiple, grouped, erythematous dome-shaped papules and nodules of 6 months duration on the left temporo-occipital region. Biopsy findings were consistent with a diagnosis of ALHE with evidence of Demodex mite infestation in the sebaceous ducts. The patient demonstrated significant improvement following 7 weeks of treatment with multiple cryotherapy sessions and topical application of metronidazole gel. This case suggests that scalp demodicosis may represent a novel trigger for the development of ALHE.

Keywords: Angiolymphoid Hyperplasia with Eosinophilia; Mite; Infestation; Scalp; Kimura disease; Cryosurgery; Metronidazole; Case Report.

Publication Date

8-29-2024

First Page

405

Last Page

408

Creative Commons License

This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.

Recommended Citation

Hasani, Khamis M Al; Bakathir, Abdulaziz A.; Al-Hashmi, Ahmed K.; and Albakri, Abdullah M. (2024) "Successful Treatment of Angiolymphoid Hyperplasia with Eosinophilia Associated with Scalp Demodicosis Using Cryotherapy and Topical Metronidazole," Sultan Qaboos University Medical Journal: Vol. 24: 405-408.
DOI: https://doi.org/10.18295/squmj.3.2024.020