58-Year-Old Woman With Lesions on Her Ear

February 12, 2015

A dermatologist has referred a patient who presented with a nodule on the edge of her ear. Can you guess the unusual diagnosis that led to the referral?

A dermatologist has referred a 58-year-old Caucasian [[{"type":"media","view_mode":"media_crop","fid":"32021","attributes":{"alt":"sarcoidosis","class":"media-image media-image-right","height":"105","id":"media_crop_4260904451594","media_crop_h":"0","media_crop_image_style":"-1","media_crop_instance":"3381","media_crop_rotate":"0","media_crop_scale_h":"0","media_crop_scale_w":"0","media_crop_w":"0","media_crop_x":"0","media_crop_y":"0","style":"float: right; margin: 3px;","title":" ","typeof":"foaf:Image","width":"154"}}]]womanto you after she presented initially with an asymptomatic pink nodule and two adjacent smaller papules on the helical rim of her right ear.

The lesion had grown over the past decade.

The patient had a history of actinic keratoses on the face with insignificant facial erythema. However, there was no clinical sign of rosacea.

A skin biopsy was obtained to rule out basal cell carcinoma.
Chest films showed bilateral hilar lymphadenopathy.

What diagnosis sent this patient to you for consultation?

Click here for the diagnosis and discussion.

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