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Year : 2014  |  Volume : 59  |  Issue : 3  |  Page : 313-314
Retroauricular nodules in a post-renal transplant individual


Department of Dermatology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India

Date of Web Publication28-Apr-2014

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.131439

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How to cite this article:
Ramesh A, Ratnavel G R, Aarthi B K, Prasath P A. Retroauricular nodules in a post-renal transplant individual. Indian J Dermatol 2014;59:313-4

How to cite this URL:
Ramesh A, Ratnavel G R, Aarthi B K, Prasath P A. Retroauricular nodules in a post-renal transplant individual. Indian J Dermatol [serial online] 2014 [cited 2019 Jun 16];59:313-4. Available from: http://www.e-ijd.org/text.asp?2014/59/3/313/131439


A 35-year-old male presented with mildly pruritic, painless papulonodules over the retroauricular region since 6 months, with mild bleeding on scratching. He was a renal transplant recipient, on systemic tacrolimus. Examination showed multiple, erythematous, hyperpigmented, non-tender, dome-shaped, and firm nodules coalescing to form a plaque of 7 cm × 4 cm, over left retroauricular region [Figure 1]. It was warm, non-pulsatile, with no bruit. On puncturing, there was minimal ooze of blood. The regional nodes, salivary glands, other integuments, and systemic examination were normal. Complete hemogram was normal with no peripheral eosinophilia. Mantoux test, screening for HIV were negative and skiagram chest and ultrasound abdomen were normal. The histopathology of a papulonodule revealed numerous dilated blood vessels lined with plump endothelial cells resembling epitheloid cells. Heavy mononuclear cell infiltrate, epitheloid cells especially, in mid- and lower-dermis were seen with extravasation of red blood cells [Figure 2] and [Figure 3] and no eosinophils.
Figure 1: Auricle shaped erythematous pigmented nodular plaque with dome shaped papules at summit. Puncture mark at the lower end of the lesion

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Figure 2: Psoriasiform acanthosis with prominent endothelial cells, lymphohistocytic infiltrate (H and E, ×10)

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Figure 3: Tombstone appearance of endothelial cells (H and E, ×40)

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   References Top

1.Wood GS. Inflammatory diseases that simulate lymphomas: Cutaneous pseudolymphomas. In: Wolff K, Goldsmith LA, Katz SI, Gilchrist BA, Paller AS, Leffell DJ, editors. Fitzpatrick's Dermatology in General Medicine. 7 th ed. USA: The McGraw-Hill; 2008. p. 1409.  Back to cited text no. 1
    
2.Al-Mutairi N, Manchanda Y. Angiolymphoid hyperplasia with eosinophilia associated with hepatitis C antibodies. Indian J Dermatol Venereol Leprol 2007;73:367.  Back to cited text no. 2
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3.Joshi R. Angiolymphoid hyperplasia with follicular mucinosis. Indian J Dermatol Venereol Leprol 2007;73:346-7.  Back to cited text no. 3
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4.Tseng CF, Lin HC, Huang SC, Su CY. Kimura's disease presenting as bilateral parotid masses. Eur Arch Otorhinolaryngol 2005;262:8-10.  Back to cited text no. 4
    
5.Hobbs ER, Bailin PL, Ratz JL, Yarbrough CL. Treatment of angiolymphoid hyperplasia of the external ear with carbon dioxide laser. J Am Acad Dermatol 1988;19:345-9.  Back to cited text no. 5
    


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