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.
Chen S, Caughman SW. Painful Erythematous Ear. Arch Dermatol. 2000;136(3):417-422. doi: