Otophyma: a rare benign clinical entity mimicking leprosy

Area of Science:

• Dermatology
• Pathology

Background:

• Otophyma is a rare, end-stage inflammatory ear condition, often linked to rosacea or eczema.
• It presents as significant edematous deformation of the auricle.

Observation:

• A case report of an elderly male with otophyma, initially misdiagnosed as leprosy.
• The patient belonged to an ethnic group not typically associated with this condition.

Findings:

• Histopathological examination revealed nodular inflammatory cell infiltration around adnexal structures.
• An intraepidermal cyst was noted, but no acid-fast organisms were identified, ruling out leprosy.

Implications:

• This case expands the understanding of otophyma's clinical spectrum and demographic variations.
• It underscores the importance of accurate histopathological diagnosis for effective management of ear deformities.