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  Vol. 134 No. 2, February 2008 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case 2

Eric Wirtz, MD; Andrew Senchak, DO; Christina Belnap, MD; Mitchell Ramsey, MD
Tripler Army Medical Center, Honolulu, Hawaii

Arch Otolaryngol Head Neck Surg. 2008;134(2):215.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 19-year-old white man presented with a 1-year history of painful, bleeding lesions in his left external auditory canal (EAC). Physical examination showed multiple exophytic, pedunculated, irregular masses located on the posterolateral aspect of the left EAC (Figure 1). Both tympanic membranes were normal, with appropriate movement on insufflation. The patient received multiple treatments, including otic solution drops (Corticosporin) and silver nitrate applications, without improvement. His medical history was remarkable for congenital hypothyroidism and a bicuspid aortic valve, with stenosis and regurgitation, as well as for nonbleeding internal hemorrhoids. His surgical history was notable for removal of a facial hemangioma. His family history, social history, and a review of symptoms were noncontributory.


 
Figure appears in full text version.
Figure 1.


His audiogram demonstrated a mild sensorineural hearing loss from 3000 to 8000 Hz in the left ear. He had a type A . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(2):217.
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