Angiolymphoid hyperplasia with eosinophilia should not be confused with Kimura's disease

Purpose: To emphasize the differences between angiolymphoid hyperplasia wit h eosinophilia (ALHE) and Kimura's disease (KD), two entities often confuse d in the ophthalmic literature. Methods: Case report of a subcutaneous mass in the periocular region of a 4 5-year old woman and a MEDLINE review of the ophthalmic and non-ophthalmic literature on ALHE and KD. Results: The clinical and histopathological findings of the present case we re consistent with ALHE, but not with KD, A survey of the current ophthalmi c literature indicates that these two designations are still often used syn onymously, despite that non-ophthalmic papers now separate ALHE from KD, Conclusion: The clinical and histopathological features of ALHE are most of ten distinctly different from KD and these entities should be clearly separ ated in the ophthalmic literature.