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Painful Erythematous Ear
Suephy Chen, MD;
S. Wright Caughman, MD
Emory University School of Medicine, Atlanta, Ga
Arch Dermatol. 2000;136:417-422.
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REPORT OF A CASE
A 74-year-old man presented with a 2-month history of pain and erythema of his right ear. He previously had been treated with antibiotics, with no improvement. Although there was a fluctuating course, in general the ear continued to thicken and become more painful. The patient also reported a 1-year history of migratory arthritis that had resolved spontaneously. The arthritis was followed by a monocular anterior uveitis that evolved into scleritis, which was treated with immunosuppression and nonsteroidal anti-inflammatory drugs. Although the treatment caused gastrointestinal problems, the scleritis also eventually resolved. The treatment had no apparent effect on the pain and erythema of the right ear.
Physical examination revealed edema and erythema predominantly affecting the superior portion and sparing the lobule of the right ear (Figure 1). There was no obvious involvement of the eye. A biopsy specimen was obtained from the . . . [Full Text of this Article]
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