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Quiz Case 1
Gil Siegal, MD;
Michal Luntz, MD;
Hava Duchmann, MD;
Milo Fradis, MD;
Dina Attias, MD;
Zvi Fridman, MD;
Ines Misselevitch, MD
Haifa, Israel
Arch Otolaryngol Head Neck Surg. 2001;127:78-80.
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A PREVIOUSLY healthy 3-year-old boy was referred to the outpatient clinic
with a 2-month history of painless otorrhea of his left ear and, according
to his parents, decreased hearing. The patient did not suffer from recurrent
otitis media, nor was he ill in the period prior to his admission. His medical
history was uneventful apart from premature labor and failure to thrive. Physical
examination revealed a left aural polyp obliterating the external canal, accompanied
by a malodorous purulent discharge. The right tympanic membrane appeared normal,
but there was sagging of the right posterior canal wall. Multiple aphthae
were noted on the soft palate, conjunctivae, and eyelids. Similar moluscumlike
lesions were scattered throughout the trunk and face. The audiogram showed
bilateral conductive hearing loss, more prominent in the left ear. . . . [Full Text of this Article]
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