A preschool boy presented with asymptomatic, reddish, raised lesions over his right ear, noticed 3 months earlier, associated with multiple painless swellings on the ipsilateral side of the neck for the past 3 weeks. On examination, there were multiple, erythematous papules coalescing to form a plaque with areas of scarring over the posterior aspect of right ear, along with firm, nontender posterior cervical lymphadenopathy (Figure, A). There was no history of trauma or intervention prior to the onset of lesions. His medical history was unremarkable, as were the rest of the mucocutaneous and systemic examination findings. A skin biopsy from the plaque was submitted for histopathological examination (Figure, C and D).
Bhattacharjee R, Chatterjee D, Keshavamurthy V. Verrucous Plaques Over the Helix of the Ear and Cervical Lymphadenopathy. JAMA Otolaryngol Head Neck Surg. 2019;145(5):479–480. doi:10.1001/jamaoto.2019.0220
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