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Volume 357:621-622 August 9, 2007 Number 6
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Case 14-2007: A Man with Pain and Swelling of Both Eyes and the Right Ear

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by Butterton, J. R.
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To the Editor: In the Case Record of a man with fever and pain and swelling of both eyes and the right ear, presented by Butterton and colleagues (May 10 issue),1 the right ear is described as "tender, with erythema of the external canal involving the preauricular and postauricular soft tissue and pinna." This is repeated in the discussion. The point that is not emphasized but should be is that, although the external ear was inflamed, the earlobe was spared. This is evident even in the clinical photograph. Sparing of the earlobe is in itself diagnostic of polychondritis.2,3 This clinical . . . [Full Text of this Article]



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