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September 1990

Erythematous Auricular Papules

Author Affiliations

University of Wisconsin Hospital and Clinics, Madison

Arch Dermatol. 1990;126(9):1229-1230. doi:10.1001/archderm.1990.01670330109020

REPORT OF A CASE  A 41-year-old white woman was referred to the dermatology clinic in June 1983 with a 5-year history of pruritic lesions present in both ears. A previously obtained biopsy specimen was consistent with prurigo nodularis. The patient had been treated with topical and intralesional steroids and intermittent courses of antibiotics without improvement. Examination at the time of referral revealed slight erythema in the external auditory canal of the right ear and erythema, scaling, and serosanguineous drainage present on the helix and concha of the left ear. The differential diagnosis included the possibility of eczematous dermatitis vs the possibility of allergic contact dermatitis. Results of patch tests were negative. The patient received a tapering course of prednisone, and the lesions subsequently resolved.The patient presented to the dermatology department in April 1987 for evaluation of recurrent left auricular lesions. Examination revealed multiple erythematous papules, approximately 0.5 cm in

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