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JAMA Dermatology Clinicopathological Challenge
March 3, 2021

A “Turkey Ear” Persisting for 5 Decades

Author Affiliations
  • 1Department of Otolaryngology and Head and Neck Surgery, Beilinson Medical Center, Petach-Tiqwa, Israel
  • 2Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
  • 3Department of Dermatology, Sheba Medical Center, Tel Hashomer, Israel
  • 4Israel Defense Forces Medical Corps, Tel Hashomer, Ramat Gan, Israel
JAMA Dermatol. 2021;157(4):460-461. doi:10.1001/jamadermatol.2020.5832

A woman in her 50s presented with an edematous, massively enlarged right auricle. The patient had immigrated to Israel 9 years before admission. She was adamant that the lesion had been present since early childhood but had gradually increased with a recent appearance of foul-smelling otorrhea. On examination, the auricle was markedly enlarged, edematous, and encircled by an erythematous, indurated plaque partially covered with a fine scale (Figure 1A). Diascopy revealed an “apple jelly” appearance. There was no local or distant lymphadenopathy; general physical examination findings were unremarkable.

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