Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-23T08:49:05.218Z Has data issue: false hasContentIssue false

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: [email protected]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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