Dermatologic Differential Diagnosis.pdf. - Famona Site

EAR, HARD (PETRIFIED AURICLES)
Conditions with * denotes calcification
Acrobatic ears B J Plast Surg 42:719–721, 1989
Acromegaly*
Actinic damage* JAAD 51:799–800, 2004
Addison’s disease – calcification/ossification of the auricular
cartilage* Int J Derm 17:799–801, 1978; JAAD 19:1, 1988
Alopecia mucinosa
Atopic dermatitis – lichenification with fibrosis
Auricular prosthesis
Bazex syndrome
Cauliflower ear – nodular deformity with fibrosis Rook p.3018,
1998, Sixth Edition
Chondromalacia – systemic chondromalacia (Meyenburg’s
disease)*
Cutaneous calcinosis* Laryngoscope 95:566–576, 1985;
actinic damage, acromegaly, adrenal insufficiency, mechanical
trauma, radiation therapy, diabetes mellitus, following frostbite,
hypopituitarism, hypothyroidism, insect bites, chondritis,
ochronosis, perichondritis, sarcoid, syphilitic perichondritis,
hypertension, alkaptonuria, chondromalacia, familial cold
hypersensitivity JAAD 51:799–800, 2004; JAAD 49:142–144,
2003
Diabetes mellitus*
Diastrophic dysplasia – cystic ear during hemorrhagic phase;
calcifies* J Bone Jt Surg 50A:113–118, 1968
Epidermolysis bullosa acquisita – ossification
Exostoses Laryngoscope 95:566–576, 1985
Familial cold hypersensitivity*
Fibrosis due to physical trauma with resolution of hematoma
Rook p.3018, 1998, Sixth Edition
Frostbite – vesicles, bullae, ischemic necrosis; calcification*
Rook p.3021, 1998, Sixth Edition
Gout*
Hypopituitarism* J Clin Endocrinol Metab 55:354–357, 1982
Hypothyroidism* JAAD 51:799–800, 2004
Hyperthyroidism*
Idiopathic
Juvenile hyaline fibromatosis (infantile systemic hyalinosis) –
nodular perianal lesions, ears, lips, gingival hypertrophy,
hyperpigmentation, flexion contractures of joints, osteolytic
defects, stunted growth Dermatology 190:148–151, 1995; Ped
Derm 11:52–60, 1994
Keutel syndrome – unusual facies, brachytelephalangy,
pulmonary stenosis* Am J Med Genet 24:289–294, 1986
Leprosy
Lichen myxedematosus; scleromyxedema
Lobomycosis
Lyme disease
Lymphoma, leukemia
Nance–Sweeney chondrodysplasia* Birth Defects 6:25–27, 1970
Ochronosis*
Ossification – auricular ossificans (ectopic ossification of
the auricle) JAAD 49:142–144, 2003; Australas J Dermatol
39:268–270, 1998; Laryngoscope 95:566–576, 1985;
secondary to frostbite; Addison’s disease South Med J
59:1268–1270, 1966
Perichondral fibrosis
Polyarteritis nodosa
Pretibial myxedema AD 122:85, 1986
Pseudohypoparathyroidism
Pseudopseudohypoparathyroidism
Radiation therapy*
Relapsing polychondritis
Sarcoid*
Scleroderma
Scleromyxedema JAAD 44:273–281, 2001; Rook p.2626–2617,
1998, Sixth Edition; JAAD 33:37–43, 1995
Trauma – cauliflower ear; wrestler’s ear*
EAR LESIONS
AUTOIMMUNE DISEASES, AND DISEASES
OF IMMUNE DYSFUNCTION
Allergic contact dermatitis – nickel, gold, palladium, hearing
aids, ear drops, occupational contact dermatitis to headphones
Contact Dermatitis 42:164, 2000; benign lymphoplasia
(lymphocytoma cutis) (red–brown papules and nodules) of the
earlobes induced by gold earrings JAAD 27:457–458, 1992;
JAAD 16:83–88, 1987; contact urticaria
Angioedema
Bullous pemphigoid Rook p.3028, 1998, Sixth Edition
Dermatitis herpetiformis Rook p.3028, 1998, Sixth Edition
Hyper-IgE syndrome – retroauricular fissures AD
140:1119–1125, 2004
Linear IgA disease (chronic bullous disease of childhood) –
perioral, eyelids, ears, scalp, perineum, vulva; annular polycyclic
bullae Ped Derm 15:108–111, 1998
Lupus erythematosus – systemic lupus, subacute cutaneous
LE, discoid lupus erythematosus Rook p.2444–2449, 1998,
Sixth Edition; NEJM 269:1155–1161, 1963; chilblain lupus BJD
98:497–506, 1978; verrucous plaque
Pemphigus foliaceus
Pemphigus vegetans – verrucous plaque
Rheumatoid nodule – intact or ulcerated Rook p.2566, 1998,
Sixth Edition; JAAD 8:439–457, 1983; NEJM 277:7–9, 1967
Scleroderma – pallor and telangiectasia of external auditory
canal Rook p.3029, 1998, Sixth Edition
Urticaria
CONGENITAL LESIONS
EAR LESIONS 147
Accessory tragus – ear papule – isolated, Treacher Collins
syndrome (mandibulofacial dysostosis; autosomal dominant);
Goldenhaar syndrome ((oculo-auriculo-vertebral syndrome) –
macroglossia, preauricular tags, abnormal pinnae, facial
asymmetry, macrostomia, epibulbar dermoids, facial weakness,
central nervous system, renal, and skeletal anomalies);
Nagers syndrome; Wolf–Hirschhorn syndrome (chromosome 4
deletion syndrome), oculocerebrocutaneous syndrome Ped
Derm 17:391–394, 2000; Townes-Brocks syndrome Am J Med
Genet 18:147–152, 1984; VACTERL syndrome J Pediatr
93:270–273, 1978
Accessory lobule
Congenital calcinosis cutis of the ear Cutis 75:90–91, 2005;
JAAD 49:117–119, 2003