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 Table of Contents    
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
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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 2020 Jul 5];79:445-7. Available from:

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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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
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  [Figure 1], [Figure 2], [Figure 3]

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