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September 1979

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol. 1979;105(9):564-566. doi:10.1001/archotol.1979.00790210062015


Youn W. Park, MD, Anthony E. Harris, MD. Richmond, Va  A 36-year-old woman had a history of multiple dry, scaling, warty skin lesions that involved the scalp, chest, breasts, and back since the age of 11 years. These skin lesions worsened during the summer months with prolonged exposure to sunlight. She denied any family history of similar dermatologic problems. Therapy had included oral vitamin A, ultraviolet light, tar soaks, topical steroids, and topical tretinoin (vitamin A acid), with ultimate control of the disease. However, in the past several years, the patient noted new lesions that involved the auricles, periauricular areas, and external canals.Results of a complete examination, including an audiogram, were unremarkable except for the skin findings that showed dry, scaly, crusted lesions over auricles, cartilaginous canals, preauricular and postauricular areas, and upper cervical regions (Fig 1). Elevation of the crusts revealed a foul-smelling, purulent

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