VEGFA and infection: Trauma, hormonal changes and infections (HTLV or HHV 8) have been suggested to play a role in the pathogenesis.4 Association of ALHE with nephrotic syndrome and pregnancy have been described.4, 5 Over-expression of estrogen and progesterone receptors was detected in pregnant women.6 Interleukin 5 and vascular endothelial growth factor were also found to be increased in some cases.7 Since they share many clinical and histopathological similarities, ALHE should be differentiated from Kimura's disease.