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A non-traumatic, blue-purple auricle: case report

Published online by Cambridge University Press:  11 December 2009

A Sewnaik
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Erasmus Medical Center Rotterdam, The Netherlands
J Kamarashev
Affiliation:
Department of Dermatology, Head and Neck Surgery and Facial Plastics, University Hospital Zürich, Switzerland
N S Peters
Affiliation:
Peadiatric department of the City-Hospital (Stadtspital) Triemli, Zürich, Switzerland
J B van Rijswijk*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery and Facial Plastics, University Hospital Zürich, Switzerland
*
Address for correspondence: Dr Jeroen B van Rijswijk, ENT Surgeon and Facial Plastics, ORL-Klinik, Universitäts-Spital Zürich, Frauenklinikstrasse 24, 8091 Zürich, Switzerland E-mail: jeroen@vanryswyk.nl

Abstract

Objective:

We report a typical case of earlobe lymphocytoma.

Method:

A case report and literature review are presented.

Results:

A 10-year-old girl presented with a blue-coloured earlobe. A diagnosis of Lyme disease was confirmed by serological tests. Lyme borreliosis is the most common tick-borne disease in the northern hemisphere. It is caused by the spirochete Borrelia burgdorferi sensu lato. The patient was successfully treated with antibiotics.

Conclusion:

The diagnostic process and ENT symptomatology of Lyme disease and borrelial lymphocytoma are summarised and discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Lesser, TH, Dort, JC, Simmen, DP. Ear, nose and throat manifestations of Lyme disease. J Laryngol Otol 1990;104:301–4CrossRefGoogle ScholarPubMed
2Moscatello, AL, Worden, DL, Nadelman, RB, Wormser, G, Lucente, F. Otolaryngologic aspects of Lyme disease. Laryngoscope 1991;101:592–5CrossRefGoogle ScholarPubMed
3Stanek, G, Strle, F. Lyme borreliosis. Lancet 2003;362:1639–47CrossRefGoogle ScholarPubMed
4Mullegger, RR. Dermatological manifestations of Lyme borreliosis. Eur J Dermatol 2004;14:296309Google ScholarPubMed
5Asbrink, E, Hovmark, A. Early and late cutaneous manifestations in Ixodes-borne borreliosis (erythema migrans borreliosis, Lyme borreliosis). Ann N Y Acad Sci 1988;539:415CrossRefGoogle ScholarPubMed
6Grange, F, Wechsler, J, Guillaume, JC, Tortel, J, Tortel, MC, Audhuy, B et al. Borrelia burgdorferi-associated lymphocytoma cutis simulating a primary cutaneous large B-cell lymphoma. J Am Acad Dermatol 2002;47:530–4CrossRefGoogle ScholarPubMed
7Quinn, SJ, Boucher, BJ, Booth, JB. Reversible sensorineural hearing loss in Lyme disease. J Laryngol Otol 1997;111:562–4CrossRefGoogle ScholarPubMed
8Oymar, K, Tveitnes, D. Clinical characteristics of childhood Lyme neuroborreliosis in an endemic area of northern Europe. Scand J Infect Dis 2009;41:8894CrossRefGoogle Scholar
9Stricker, RB, Winger, EE. Musical hallucinations in patients with Lyme disease. South Med J 2003;96:711–15CrossRefGoogle ScholarPubMed