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Diagnosing bullous myringitis involves using an otoscope to spot distinctive white sack-like structures on the eardrum.Ear pain is the primary complaint. However, differentiating it from acute otitis media can be difficult, leading to early misdiagnosis.The rarity of bullous myringitis, especially compared to acute otitis media, can result in common misdiagnoses.
Bullous myringitis leads to the development of bullae on the tympanic membrane that can be punctured to give pain relief. [35] Foreign body in the ear canal can cause pain and be treated with careful removal. [8] Infected sebaceous cyst is treated with incision and drainage of the cysts, oral antibiotics and otorhinolaryngology assessment. [8]
Granular myringitis is a long term condition in which there is inflammation of the tympanic membrane in the ear and formation of granulation tissue within the tympanic membrane. [1] It is a type of otitis externa. [2] Without treatment it can lead to narrowing of the ear canal. [1]
This category reflects the organization of International Statistical Classification of Diseases and Related Health Problems, 10th Revision. Generally, diseases outlined within the ICD-10 codes H65-H75 within Chapter VIII: Diseases of the ear and mastoid process should be included in this category.
Esophageal webs are associated with bullous diseases (such as epidermolysis bullosa, pemphigus, and bullous pemphigoid), with graft versus host disease involving the esophagus, and with celiac disease. [5] Esophageal webs are more common in white individuals and in women (with a ratio of 2:1).
The pathophysiology of mastoiditis is straightforward: bacteria spread from the middle ear to the mastoid air cells, where the inflammation causes damage to the bony structures. Streptococcus pneumoniae , Streptococcus pyogenes , Staphylococcus aureus , Haemophilus influenzae , and Moraxella catarrhalis are the most common organisms recovered ...
Otitis externa responds well to treatment, but complications may occur if it is not treated. Individuals with underlying diabetes , disorders of the immune system, or history of radiation therapy to the base of the skull are more likely to develop complications, including malignant otitis externa. [ 23 ]
Generalized bullous fixed drug eruption (GBFDE) most commonly refers to a drug reaction in the erythema multiforme group. [ 3 ] : 129 These are uncommon reactions to medications, with an incidence of 0.4 to 1.2 per million person-years for toxic epidermal necrolysis and 1.2 to 6.0 per million person-years for Stevens–Johnson syndrome .