PMC6885811_01
Figure illustrating the swelling over the left side of the face after excision with suture marks (a), with nodular swellings over the scalp (b) and over the lower back (c).
CRIM2019-2387832.001.jpg
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fig1
There were multiple swellings over the aforementioned regions (Figure 1).
Photomicrograph showing a circumscribed lesion located in the dermis, composed of variably sized vascular spaces with cellular infiltrate (a) (H&E stain, 4x). The lesion is showing vascular spaces with plump endothelial cells and interstitial increase in eosinophil, lymphocyte, and plasma cells (b) (H&E stain 10x) and (c) (H&E stain, 20x). Immunohistochemistry showing endothelial cells positive for CD31 (d).
CRIM2019-2387832.002.jpg
PMC6885811_01_CRIM2019-2387832.002.jpg
fig2
The endothelial cells were positive for CD31, suggestive of ALHE (Figure 2).