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April 2013

Firm Papules on the Auricular Helix—Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD; LORI D. PROK, MD

JAMA Dermatol. 2013;149(4):475-480. doi:10.1001/jamadermatol.2013.2075a

A 49-year-old white man presented with asymptomatic papules of unknown duration on the bilateral helical rims. These lesions were discovered by his hairdresser 1 week prior to presentation. The patient denied pain, tenderness, or pruritus. His medical history was noncontributory, and he denied a history of gout. In addition, he denied a history of wrestling or other trauma, such as frequent use of headgear. Physical examination revealed four 1- to 2-mm, skin-colored to yellowish, smooth-surfaced, firm, round papules on the free margin of both helices (Figure 1). A shave biopsy was performed on the lesion on the right helix (Figure 2 and Figure 3).

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