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Year : 2013  |  Volume : 79  |  Issue : 3  |  Page : 445-447

Asymptomatic conchal papules


1 Department of Dermatology and STD, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
2 Department of Pathology, National Institute of Pathology, Indian Council of Medical Research, New Delhi, India

Date of Web Publication19-Apr-2013

Correspondence Address:
Rajat Kandhari
11 Munirka Marg, Vasant Vihar, New Delhi 110 057
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.110808

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How to cite this article:
Kandhari R, Ramesh V, Singh A. Asymptomatic conchal papules. Indian J Dermatol Venereol Leprol 2013;79:445-7

How to cite this URL:
Kandhari R, Ramesh V, Singh A. Asymptomatic conchal papules. Indian J Dermatol Venereol Leprol [serial online] 2013 [cited 2019 Jun 17];79:445-7. Available from: http://www.ijdvl.com/text.asp?2013/79/3/445/110808


A 42-year-old woman presented with multiple, asymptomatic, dark, raised lesions involving both her ears. The lesions appeared 1 year ago in her left ear and subsequently involved her right ear. There was no history of arthralgia, oral ulcers, photosensitivity, or alopecia. Review of the systems was unremarkable. On examination, the lesions were bilateral, discrete to confluent, monomorphic, 1-2 mm in diameter, firm, hyperpigmented, and papular involving the auricular conchae and the external auditory meatus. The helix and the crura of the antihelices were spared [Figure 1]. There was no obstruction of the canals on otoscopic examination. Biopsy from the right ear revealed a hyperplastic epidermis and globular masses in the dermal papillae. No evidence of interface dermatitis was demonstrated [Figure 2]. Routine laboratory investigations including complete blood count, blood sugar levels, renal and hepatic and urinary analysis were within normal limits.
Figure 1: Monomorphic, papular lesions involving the auricular concha

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Figure 2: Eosinophilic globules lying in the dilated dermal papilla (H and E, ×400)

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1.Black MM, Upjohn E, Albert S. Amyloidosis. In: Bolognia JL, Jorizzo JL, Rapini RP, editors. Dermatology. 2 nd ed. Missouri, USA: Mosby Elsevier Publishing; 2009. p. 623-31.  Back to cited text no. 1
    
2.Habermann MC, Montenegro MR. Primary cutaneous amyloidosis: Clinical, laboratorial and histopathological study of 25 cases. Identification of gammaglobulins and C3 in the lesions by immunofluorescence. Dermatologica 1980;160:240-8.  Back to cited text no. 2
    
3.Barnadas MA, Pérez M, Esquius J, Curell R, de Moragas JM. Papules in the auricular concha: Lichen amyloidosus in a case of biphasic amyloidosis. Dermatologica 1990;181:149-51.  Back to cited text no. 3
    
4.Hicks BC, Weber PJ, Hashimoto K, Ito K, Koreman DM. Primary cutaneous amyloidosis of the auricular concha. J Am Acad Dermatol 1988;18:19-25.  Back to cited text no. 4
    
5.Wang WJ, Huang CY, Chang YT, Wong CK. Anosacral cutaneous amyloidosis: A study of 10 Chinese cases. Br J Dermatol 2000;143:1266-9.  Back to cited text no. 5
    
6.Gagel RF, Levy ML, Donovan DT, Alford BR, Wheeler T, Tschen JA. Multiple endocrine neoplasia type 2a associated with cutaneous lichen amyloidosis. Ann Intern Med 1989;111:802-6.  Back to cited text no. 6
    
7.Sanchez JL. Collagenous papules on the aural conchae. Am J Dermatopathol 1983;5:231-3.  Back to cited text no. 7
    
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11.Aoki M, Kawana S. Lichen amyloidosis of the auricular concha: Successful treatment with electrodesiccation. J Dermatol 2009;36:116-7.  Back to cited text no. 11
    
12.Dupré A, Lassére J, Bonafé JL, Viraben R, Gorguet B. Collagenous papules of the external ear. Micropapular hyalinosis of the external ear with transepithelial elimination. Relation to primary localized cutaneous amyloidosis Ann Dermatol Venereol 1984;111:913-7.  Back to cited text no. 12
    
13.Echevarria De MJ, Nanita de Esteve F. Liquen amiloide de pabellon auricular, reporte de ocho casos. Rev Domin Dermatol 1980;14:59-63.  Back to cited text no. 13
    
14.Noojin RO, Arrington TS. Unusual cutaneous findings in primary systemic amyloidosis: Report of a case. Arch Dermatol 1965;92:157-9.  Back to cited text no. 14
    
15.El-Sayed I, Busaba NY, Faquin WC. Otologic manifestations of amyloidosis. Otol Neurotol 2002;23:158-9.  Back to cited text no. 15
    
16.Ambrosone L, Mansi L, Salvatore T, Marino F, Orabona P, Rambaldi A, et al. An unusual case of primary systemic amyloidosis. J Eur Acad Dermatol Venereol 1998;10:53-7.  Back to cited text no. 16
    
17.Wenson SF, Jessup CJ, Johnson MM, Cohen LM, Mahmoodi M. Primary cutaneous amyloidosis of the external ear: A clinicopathological and immunohistochemical study of 17 cases. J Cutan Pathol 2012;39:263-9.  Back to cited text no. 17
    


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