Image in medicine
Cauliflower ear
Pabellón auricular en coliflor
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"identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Elisabeth Gómez" "apellidos" => "Moyano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Iván Pérez" "apellidos" => "de Pedro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Leandro Martínez" "apellidos" => "Pilar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Medicina Interna, Hospital Regional Universitario de Málaga, Málaga, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Dermatología, Hospital Regional Universitario de Málaga, Málaga, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pabellón auricular en coliflor" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 979 "Ancho" => 1150 "Tamanyo" => 227137 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In this paper we describe the case of a 75-year-old man consulting for a five-month history of left ear pain despite cleansing it and taking a course of antibiotics. On examination, a painful, edematous, and erythematous ear was observed, with a small volume of a purulent secretion, although with a normal ear lobe and no nasal involvement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a). A differential diagnosis of cutaneous leishmaniasis, an infected epidermal cyst, or polychondritis was proposed, and both blood tests and a skin biopsy were requested, including a tissue culture and ultrasound.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">A polymerase chain reaction (PCR) was negative for <span class="elsevierStyleItalic">Leishmania</span> spp. and no antineutrophil cytoplasmic antibodies (ANCAs) were detected either. Given that <span class="elsevierStyleItalic">Streptococcus agalactiae</span> isolates were detected in the culture performed and the ultrasound revealed a fistulized abscess, the patient was prescribed a course of antibiotics, following which he achieved partial improvement. The biopsy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) showed an intense, chronic, deep, perivascular and periadnexal inflammatory reaction, owing to which a deeper biopsy was performed, detecting chronic, perichondral inflammation. A positron emission tomography-computed tomography (PET-CT) scan was requested, detecting a focal increase of the right arytenoid cartilage in its images (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C, arrow). Treatment with prednisone was consequently started, achieving symptomatic improvement albeit with cartilage degeneration (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). The patient was referred to Otorhinolaryngology Department, where, after malignancy was ruled out, he was prescribed immunosuppressive treatment with methotrexate. This treatment was subsequently discontinued due to the onset of hematologic toxicity, but he continued to remain in a state of remission under low doses of glucocorticoids.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Relapsing polychondritis is a rare, autoimmune disease that affects the ears, nose, and throat area, is characterized by cartilage inflammation and destruction, and requires a multidisciplinary approach.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martín Carmona J, Gómez Moyano E, Pérez de Pedro I, Martínez Pilar L. Pabellón auricular en coliflor. 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