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November 2007

Auricular Erythema With Nodules and Scale—Quiz

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Arch Dermatol. 2007;143(11):1441-1446. doi:10.1001/archderm.143.11.1441-d

A 48-year-old woman presented with a 4-month history of a painful, swollen left ear. Her problems began with a small pimplelike lesion in the mid portion of the ear, and she subsequently developed multiple nodules in the surrounding area. The left ear became progressively more painful, swollen, and mildly pruritic. She denied a history of fever, chills, or night sweats. The patient was treated unsuccessfully with multiple courses of antibiotics, including ciprofloxacin, doxycycline, cephalexin, rifampin, and topical mupirocin. Her medical history was notable for atopic dermatitis but was otherwise unremarkable.

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