Patient was diagnosed with Red Ear Syndrome (RES) and provided reassurance that symptoms would get less frequent in the future. Cardiac examination was within normal limits. There was no abnormality of the temporomandibular joint and no other autonomic abnormalities. During the visit, the erythema progressed to involve the entire ear (Figure 3) and then abruptly cleared up (Figure 4). The other ear was completely normal with no erythema (Figure 2). The erythematous area was well demarcated with sharp borders (Figure 1). Head and neck examination were normal other than patchy erythema of the right ear with mild edema and increased temperature in the area of erythema. On examination, the patient was an alert and oriented, well-nourished female in no acute distress. Review of symptoms was negative for neurological or cardiac symptoms. Past medical history was significant for attention deficit and her medications included atomoxetine 60 mg daily and oral birth control pills for irregular menses. There were no associated headaches or migraine episodes, and only the ears were involved without involvement of hands or feet. The episodes did not have any inciting or relieving events, resolved spontaneously, and occurred at any time of the day. Only one ear was affected each time but either ear was affected randomly. The episodes occurred approximately once or twice a day and lasted for about an hour. Isolated Aural Erythromelalgia or Red Ear Syndrome AUTHORS:Īnusha Tuli 1 Ruchita Kachru, MD 2 Donna Parker, MD 2 Florentina Litra, MD 3ġ Barnard College, Columbia University, New York, New YorkĢ Department of Pediatrics, University of Florida, Gainesville, Floridaģ Department of Pediatrics, University of Florida, Pensacola, Florida STUDENT ARTICLE | PUBLISHED SPRING 2022 | Volume 42, Issue 2 DOWNLOAD PDF Case PresentationĪn 18-year-old Indian female presented with a one-year history of intermittent redness, burning, and warmth of her ears.
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