A case of red ears

A case of red ears:



Yang Sun, Sam Shiyao Yang, Lucinda Siyun Tan



Indian Journal of Dermatology, Venereology, and Leprology 2020 86(3):325-328




A 49-year-old lady, newly diagnosed with acute myeloid leukemia, was admitted for the first cycle of induction chemotherapy using daunorubicin (days 1 to 3) and cytarabine (days 1 to 7). She had no significant past medical history. On day 7, she developed marked erythema and edema over both her ears [Figure 1]. There were no auditory complaints, and otoscopic examination reviewed clear tympanic membranes with no effusions. The condition was associated with pruritic purpura over her limbs and trunk, with 5% of body surface area involvement [Figure 2]. There was no positive Nikolsky's sign or mucositis. Histology of the affected skin over the trunk demonstrated spongiosis and superficial perivascular mixed infiltrates composed of lymphocytes, histiocytes, plasma cells and neutrophils [Figure 3].

Figure 1: Click here to view

Figure 2: Purpura on the upper limb Click here to view

Figure 3: Click here to view

What Condition Is This?

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given her consent for her images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 

References

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