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November 1992

Symmetrical Retroauricular Papules

Author Affiliations

University of Michigan Medical School, Ann Arbor

Arch Dermatol. 1992;128(11):1537-1538. doi:10.1001/archderm.1992.01680210115019

REPORT OF A CASE  A 73-year-old man presented to the outpatient clinic of the dermatology department with a 1-year history of retroauricular papules bilaterally. The skin lesions were essentially asymptomatic except when traumatized, whereupon there was occasional bleeding and draining of serous fluid from the lesion on the right side. The patient had no personal or family history of cutaneous neoplasm.The examination revealed 1-cm slightly erythematous papules symmetrically located in both the left and right retroauricular folds (Figs 1 and 2). The papules occurred where the tips of spectacle ear pieces came in contact with the skin. The right-side papule had a central ulceration and slight telangiectasia (Fig 2). Findings from his waist-up examination were otherwise normal.Because the lesions were symmetrical and occurred at the sites of spectacle contact, they were considered to be benign reactive processes secondary to the trauma induced by the spectacle. However, the central

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