Eradication of angiolymphoid hyperplasia with eosinophilia by copper vapor laser.

A healthy 47-year-old white woman presented with 4 vascular-appearing plaques on the left upper part of the forehead (Figure 1A), which had been present for approximately 9 years. On physical examination, there was a 1.031.2-cm pink plaque with 3 similar-appearing papules above it measuring 0.4 to 0.8 cm. One lesion extended into the hairline. Two 3-mm punch biopsy specimens were obtained, which showed features of angiolymphoid hyperplasia with eosinophilia (ALHE) (Figure2A). Of note, the patient experienced severe neuropathic symptoms of dysesthesia and hyperesthesia of the left frontoparietal part of the scalp 1 to 2 months after her biopsy, which gradually resolved during the ensuing 6 months.