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

Authors

• Salma T. Al Kharusi, Dermatology Department, Rustaq Polyclinic, Rustaq, Oman
• Aya A. Al Lamki, Dermatology Department, Rustaq Polyclinic, Rustaq, Oman
• Raqiya M. Al Rajaibi, Dermatology Department, Rustaq Polyclinic, Rustaq, Oman
• Zakiya I. Al Ajmi, Department of Histopathology, Royal 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 a dermatology clinic in Rustaq, Oman, 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.

Article Type

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

Al Kharusi, Salma T.; Al Lamki, Aya A.; Al Rajaibi, Raqiya M.; and Al Ajmi, Zakiya I. (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.12.2023.090