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Allergic contact dermatitis

An intensely pruritic, weeping, eczematous rash on the ear, often caused by nickel in earrings or chemicals in hair products.

Auricular chondritis

Inflammation of the ear cartilage, sparing the earlobe, causing the ear to become swollen, red, tender, and warm.

Chilblains

Itchy and painful red or purplish swellings on the helix after exposure to cold.

Chondrodermatitis nodularis helicis

Presents as a single, exquisitely tender, crusted papule on the pressure-bearing helix of the ear.

Contact dermatitis

An eczematous rash with erythema, scale, and pruritus caused by an irritant or allergen.

Discoid lupus erythematosis

Characterized by atrophic, scaly, erythematous plaques with follicular plugging, often located in the conchal bowl.

Eczema

Atopic or seborrheic dermatitis presenting with erythema, scaling, and fissuring, especially in the retroauricular crease (behind the ear).

Granuloma fissuratum

A painful, firm fold of flesh with a central fissure, typically in the groove behind the ear, caused by pressure from eyeglass frames.

Juvenile spring eruption

A photodermatosis in boys, presenting as an itchy, papulovesicular eruption on the helices of the ears in the spring.

Levimasole induced vasculopathy

A vasculitis associated with contaminated cocaine, causing purpuric, retiform, and necrotic plaques, characteristically on the ears.

Lupus vulgaris

A form of cutaneous tuberculosis that can cause progressive, destructive, reddish-brown "apple-jelly" nodules on the ear.

Otitis externa

Inflammation of the external ear canal ("swimmer's ear"), causing pain, discharge, and erythema of the canal skin.

Psoriasis

Presents as well-demarcated, erythematous plaques with a silvery scale on the external ear and in the ear canal.

Relapsing polychondritis

An autoimmune disease causing recurrent episodes of severe, painful, bilateral inflammation of the ear cartilage, characteristically sparing the earlobes.

Seborrhoiec dermatitis

A common rash causing greasy, yellowish scale and erythema in the conchal bowl and behind the ears.

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