Case 36-2015: A 27-Year-Old Woman with a Lesion of the Ear Canal

A 27-year-old woman presented with a pruritic lesion of the left ear canal, with recurrent bleeding. The lesion had a cobblestone appearance and several prominent vessels. A diagnostic procedure was performed. Presentation of Case Dr. Konstantina M. Stankovic: A 27-year-old woman was seen in an outpatient otolaryngology clinic of the Massachusetts Eye and Ear Infirmary, which is affiliated with this hospital, because of a pruritic lesion of the left ear canal, with recurrent bleeding. One year before this presentation, a ballooning lesion had developed in the patient’s left ear canal that partially occluded the lumen and was associated with pruritus and recurrent bleeding. An unknown medication was administered topically into the ear canal, with improvement in both bleeding and pruritus. Two weeks before this presentation, bleeding from the left ear canal . . .