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March 2000

Painful Erythematous Ear

Author Affiliations
 

MICHAEL E.MINGMD

Arch Dermatol. 2000;136(3):417-422. doi:

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.

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