Cultural factors may be important in the expression of skin diseases. Awareness of such factors may avoid unnecessary, invasive, and costly investigations and facilitate preventative action. Establishing a cultural link may be straightforward, as in the prayer nodules seen on the forehead of older Shiite Muslims,1 but, occasionally, the links may not be apparent to the uninitiated, as in the bizarre circular rings caused by cupping, which may be mistaken for child abuse.2 This report highlights the case of a Sikh man with inflammatory lesions of the external ears in whom the cultural link appeared to stare us in the face.
Report of a Case.
A 22-year-old Sikh man was referred to our clinic with a 4-year history of a nonhealing lesion on his right ear that was occasionally sore to the touch. It did not worsen in cold weather, and the patient denied any nocturnal pain at
Williams HC. Turban Ear. Arch Dermatol. 1994;130(1):117-119. doi:10.1001/archderm.1994.01690010123028