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Red ears in RP can be bilateral or unilateral, and are described as “earlobe sparing” due to the lack of cartilage in the earlobe. Prolonged inflammation can eventually result in deteriorated ear cartilage (often described as “ cauliflower ear ” or “floppy ear”), and even partial or total loss of hearing.
Ear pain due to an infection is the most common in children and can occur in babies. [10] Adults may need further evaluation if they have hearing loss, dizziness or ringing in the ear. [6] Additional red flags include diabetes, a weakened immune system, swelling seen on the outer ear, or swelling along the jaw. [12]
Pseudocyst of the auricle, also known as auricular pseudocyst, endochondral pseudocyst, cystic chondromalacia, intracartilaginous auricular seroma cyst, and benign idiopathic cystic chondromalacia, [1] is a cutaneous condition characterized by a fluctuant, tense, noninflammatory swelling on the upper half of the ear, known as the auricle or pinna.
A cauliflower ear deformity. Inflammation of the cartilage of the ear is a specific symptom of the disease and affects most people. [3] It is present in about 20% of persons with RP at presentation and in 90% at some point. [3] Both ears are often affected but the inflammation may alternate between either ear during a relapse. [3]
Acute otitis media in children with moderate to severe bulging of the tympanic membrane or new onset of otorrhea (drainage) is not due to external otitis. Also, the diagnosis may be made in children who have mild bulging of the ear drum and recent onset of ear pain (less than 48 hours) or intense erythema (redness) of the ear drum.
Perichondritis is inflammation of the perichondrium, a layer of connective tissue which surrounds cartilage. [2] A common form, auricular perichondritis (perichondritis auriculae) involves infection of the pinna due to infection of traumatic or surgical wound or the spread of inflammation into depth (e.g. Infected transcartilaginous ear piercings).
This separates the cartilage from the overlying perichondrium that supplies its nutrients, causing it to die and resulting in the formation of fibrous tissue in the overlying skin. As a result, the outer ear becomes permanently swollen and deformed, resembling a cauliflower, hence the name.
Otitis externa, also called swimmer's ear, [1] is inflammation of the ear canal. [2] It often presents with ear pain, swelling of the ear canal, and occasionally decreased hearing. [2] Typically there is pain with movement of the outer ear. [3] A high fever is typically not present except in severe cases. [3]