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Unusual presentation of more common disease/injury
Angiolymphoid hyperplasia with eosinophilia presenting as an axillary artery aneurysm
  1. Neil Kukreja1,
  2. Matthias Koslowski2,
  3. Robert Insall3
  1. 1Department of Surgery, St Thomas’ Hospital, London, UK
  2. 2Department of Histopathology, William Harvey Hospital, Ashford, UK
  3. 3Kent and Canterbury Hospital, Canterbury, UK
  1. Correspondence to Neil Kukreja, neil.kukreja{at}


A man in his late 20s presented with a painless swelling in his left axilla accompanied with nocturnal sweating. On examination, there was a well circumscribed, pulsatile lump within the axilla. Subsequent imaging revealed an axillary artery aneurysm with thrombus within. Subsequent surgical repair was undertaken. Subsequent histological examination of the vessel revealed features characteristic of angiolymphoid hyperplasia with eosinophilia.

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  • Competing interests None.

  • Patient consent Not obtained.

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