RT Book, Section
A1 Rayala, Brian Z.
A1 Sabella, Camille
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114869881
T1 Otitis Externa
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114869881
RD 2024/04/19
AB An  11-year-old  girl  with  a  history  of  psoriasis  presented  to  her  pediatrician  with  a  2-day  history  of  ear  pain  and  drainage  from  her  right  ear  canal.  On  physical  examination,  she  is  well  appearing  and  afebrile.  She  has  exquisite  pain  on  movement  of  her  right  pinna  and  dried  drainage  visible  at  the  opening  of  her  external  auditory  canal  (EAC).  Her  EAC  is  erythematous  and  mildly  edematous,  but  the  tympanic  membrane  is  visualized  and  appears  normal.  She  also  has  psoriatic  lesions  around  her  ear  and  scalp  as  currently  her  psoriasis  is  not  under  control  (Figure  21-1).  The  pediatrician  makes  the  diagnosis  of  otitis  externa  and  prescribes  once  daily  ofloxacin  drops  for  7  days.  The  girl  has  a  prompt  response  and  recovers  completely.