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 Cutaneous Lesions  
Angiolymphoid Hyperplasia with Eosinophilia
(Kimura's Disease)

Angiolymphoid Hyperplasia with Eosinophilia
(Kimura's Disease)

Description : Kimura's disease, or angiolymphoid hyperplasia with eosinophilia, may present in one of two forms. The first type is characterized by the presence of multiple, dull red, angiomatous or superficial nodules or plaques occurring around the ear or scalp in young adults. These nodules usually persist and may gradually increase in number. Persistent pruritus and bleeding after scratching are the main symptoms.

The other form in which Kimura's disease may present is as persistent subcutaneous nodules, measuring from I to 10 cm in diameter. This second type also occurs most commonly on the head and neck of young adults.

This young woman complained of persistent itching in the skin just above the entrance to the external auditory canal on the left ear. The skin in the 12 o'clock position, at the entrance to the meatus, shows a cherry-red, slightly edematous appearance. Another discrete red nodule is present at the base of the superior crus of the helix.

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