Dermatology clinic

A teenager with an ear rash and facial weakness

Victoria Harris, Gayle Fischer



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.