EAR

By Gary M. White, MD

Blackheads

Comedones or blackheads of acne commonly occur in the ears. A topical retinoid e.g. adapalene or tretinoin is usually given.
acne blackheads in the ears

Congenital

Preauricular Sinus
Preauricular Sinus

Subepidermal Calcified Nodule
Subepidermal Calcified Nodule

Preauricular Tag
Preauricular Tag

Enlarged

Otophyma is enlargement of the ear representing the end-stage of an inflammatory process such as rosacea and eczema. For a picture, see Dermatology Online Journal 21(3)

Growths/Nodules

Actinic Keratoses

Basal Cell Carcinoma (BCC). Ear BCCs on average, present as larger lesions, required more Mohs layers and produced a larger final defect than non-ear lesions [JAAD May 2014].
Basal Cell Carcinoma of the Ear

Squamous Cell Carcinoma
Squamous Cell Carcinoma of the Ear

Melanoma
Melanoma of the Ear

Cutaneous Horn

Keloid
Keloid

Chondrodermatitis Nodularis Helicis (CNH). The "ear corn," or CNH, is a painful spot on a prominent part of the cartilage of the ear. It forms in older adults from chronic pressure on the pillow. Questions to ask: "Does it hurt when you sleep?" "Do you sleep on that side?"
Chondrodermatitis Nodularis Helicis

Weathering Nodules. Common on the ears of older men. Entirely benign.
Weathering Nodules

Acanthoma Fissuratum. A fissure on the back of the ear from where the glasses sit. Entirely benign.
Acanthoma Fissuratum

The Pseudocyst is most common in children and young adults. May need to be drained.
Pseudocyst of the Ear

Angiolymphoid Hyperplasia With Eosinophilia

Epidermal Inclusion Cyst
Epidermal Inclusion Cyst of the Ear

Lepromatous Leprosy. The ears may be enlarged with a typical shiny and thickened appearance. Nodules may be present. The ears may be cooler and anesthetic.
Lymphocytoma Cutis

Inflamed/Red and Scaly

Seborrheic Dermatitis
Seborrheic Dermatitis

Cellulitis. Here from MRSA.
External Otitis

Relapsing Polychondritis
Relapsing Polychondritis

Allergic Contact Dermatitis to nickel is common on the ear.
Allergic Contact Dermatitis to Nickel on the Ear

Cutaneous Lupus Erythematosus. The inner aspect of the pinna is a favorite location for the red, scaly, scarring lesions of cutaneous lupus erythematosus.
Cutaneous Lupus Erythematosus of the Ear

Ramsay Hunt Syndrome. Herpes zoster of the ear.
Ramsay Hunt Syndrome

Juvenile Spring Eruption. Sun-induced rash of the ears in children.
Juvenile Spring Eruption of the Ear

Cold Agglutinin Disease. The ears become red and inflamed after exposure to the cold.

Pigmented

Nevi and clinically atypical nevi. This clinically atypical nevus was benign on biopsy.
Nevus of the Ear

Melanoma
Melanoma of the Ear

Rock Hard

Petrified Auricle

Split Lobe

Split Lobe

Ulcer

Chiclero Ulcer

Vascular

Venous Lake
Venous Lake

White

Gout. Gouty tophus of the ear before and after biopsy.
Gout of the Ear Gout of the Ear after Biopsy

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