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Dermatology clinic

A teenager with an ear rash and facial weakness

Victoria Harris, Gayle Fischer

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Abstract

Test your diagnostic skills in our regular dermatology quiz. What is the cause of this rash and appropriate management?

Article Extract

Case presentation

A 16-year-old girl presents with headache and a burning sensation over the right side of her face for the past three days. She also reports feeling ‘a little off-balance’. This morning, her mother noticed a new rash in the girl’s right ear.

On examination, clusters of vesicles on an erythematous base are noted in the conchal bowl of the patient’s ear (Figure 1). She has a slight weakness on the same side of the face and is complaining of increasing pain.

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