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Mark Hutchin, MD; Carol Chenoweth, MD; Linglei Ma, MD, PhD; Kelly McClean, MD
University of Michigan, Ann Arbor

Arch Dermatol. 2007;143(11):1441-1446.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 48-year-old woman presented with a 4-month history of a painful, swollen left ear. Her problems began with a small pimplelike lesion in the mid portion of the ear, and she subsequently developed multiple nodules in the surrounding area. The left ear became progressively more painful, swollen, and mildly pruritic. She denied a history of fever, chills, or night sweats. The patient was treated unsuccessfully with multiple courses of antibiotics, including ciprofloxacin, doxycycline, cephalexin, rifampin, and topical mupirocin. Her medical history was notable for atopic dermatitis but was otherwise unremarkable.

On physical examination, the superior portion of the left ear was erythematous and edematous, with scale overlying several fluctuant nodules (Figure 1). The ear canal was spared. No preauricular, postauricular, or cervical lymphadenopathy was present. A biopsy sample was obtained (Figure 2).

Figure appears in full text version. Figure . . . [Full Text of this Article]

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Arch Dermatol. 2007;143(11):1441-1446.
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