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Introduction: Angiolymphoid hyperplasia with eosinophilia (ALHE) or epithelioid hyperplasia is an uncommon condition due to benign proliferation of dermal and subdermal vessels. It is most commonly seen in young to middle-age females. Skin lesions include single or multiple red papules, plaques and nodules. It most commonly involves head and neck. Its etiology has not been determined. The ALHE lesions are usually resistant to commonly suggested treatment methods including surgery. Recurrence of treated lesions is also common.
Case Presentation: Herein, we report a 39-year-old woman who presented with multiple red papules and nodules on her forearm, hand and nail bed.
Conclusion: Condition and extension of lesions in this case is very significant. Her lesions were confirmed to be ALHE after histopathological assessment.

Keywords: Angiolymphoid Hyperplasia, Eosinophilia, Epithelioid Hemangioma, Vascular Malformation

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