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Dermatology Online Journal

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Otophyma: a rare benign clinical entity mimicking leprosy

  • Author(s): Shuster, Marina;
  • McWilliams, Ashley;
  • Giambrone, Danielle;
  • Noor, Omar;
  • Cha, Jisun
  • et al.

Otophyma is a rare condition characterized by edematous deformation of the ear that is considered to be the end-stage of an inflammatory process such as rosacea and eczema. This report illustrates a case in an elderly male, originally thought to have leprosy. Biopsy revealed a nodular infiltration of inflammatory cells around adnexal structures and an intraepidermal cyst. No acid-fast organisms were identified. We present a patient who is of a different ethnic group than usually seen with this disease and provide a review of the clinical presentation, histopathological features, and management of this rare condition.

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