A rare case of angiolymphoid hyperplasia with eosinophilia in the submental region
A 22-year-old man reported with a complaint of a hard disfiguring swelling in the chin region. The swelling had gradually increased in size to attain the present size and had hardened in consistency to attain the present consistency. Patient had first noticed the swelling 1½ years back and complained of mild associated pruritis. The patient gave a history of trauma to the same region twice, the first about 10 years ago, which was associated with significant bleeding and had required suturing and the second about 2 years ago. His medical history was non-contributory. He had no tissue abuse or tobacco abuse habit.\nOn extra-oral examination, a single, well-defined, non-tender nodular swelling measuring about 2.5 cm Χ 1.5 cm in size with firm to hard consistency was present in the submental region []. The nodule was movable in nature. The temperature over the nodule was normal. Intra-orally there was no abnormality detected apart from moderate gingival recession with lower left central incisor.\nPeriapical, occlusal and panoramic radiographs were obtained and were non-contributory. The laboratory investigations that were advised for the patient included complete blood count, bleeding time, clotting time, random blood sugar, hepatitis B surface antigen test and human immunodeficiency virus test. All the reports were within the normal limits except for differential leukocyte count, which showed marked increase in eosinophils to 8% (normal 1-6%). The lesion was surgically excised and sent for histopathological examination [].