History:

Angiolymphoid hyperplasia with eosinophilia (ALHE) is an uncommon idiopathic condition that manifests in adults as isolated or grouped papules, plaques, or nodules in the skin of the head and neck. Most patients present with lesions in the periauricular region,forehead, or scalp. Rare sites of involvement include the hands,shoulders, breasts, penis, oral mucosa, and orbit.