Angiolymphoid Hyperplasia With Eosinophilia Affecting the Eyelids

A NGIOLYMPHOIDHYPERplasia with eosinophilia is a benign lesion with lymphoid and vascular components that has been only rarely describedtoaffecttheeyelids(Figure1). ItwaspreviouslyconsideredsynonymouswithKimuradiseasebut isnow thoughtbymanytobeaseparateclinical entity (Figure2 andFigure3). Herewepresentacaseofa51-year-old man with a 5-year history of tumors involvingtheleftupperandlowereyelids, scalp,andneck.At thetimeofhis firstvisit,hehadobstructedvision,an inability to fullyclose theeyes leading toexposurekeratitis, andsocial isolationsecondarytohis tumorsofangiolymphoid hyperplasia with eosinophilia (Figure 4). Correspondence: Dr Thompson, Kellogg Eye Center, University of Michigan, 1000 Wall St, Ann Arbor, MI 48103 (matthewt62@yahoo .com). Financial Disclosure: None reported.