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Verruciform Xanthoma Presenting Within an Ear Piercing
Hannah E Myers1, Subhapradha Rangarajan2, Michael Roberts3,4
1From the Department of Dermatology, Medical College of Georgia at Augusta University, Augusta, GA.
Indian Journal of Dermatology
|December 9, 2024
Summary
Verruciform xanthomas are rare skin lesions. This case highlights an unusual presentation of a painful verruciform xanthoma on an earlobe, often misdiagnosed.
Area of Science:
- Dermatology
- Oral Pathology
Background:
- Verruciform xanthomas (VX) are uncommon mucocutaneous lesions.
- They typically present as asymptomatic, slow-growing solitary lesions on the oral mucosa.
- VX are frequently misdiagnosed as other conditions like squamous cell carcinoma or leukoplakia.
Observation:
- A case study of a 22-year-old male is presented.
- The patient exhibited a painful verruciform xanthoma.
- The lesion was located on the posterior earlobe, associated with a prior ear piercing.
Findings:
- This case demonstrates an atypical location for verruciform xanthoma, occurring on the external ear rather than the oral mucosa.
- The presence of pain is also an unusual feature, as VX are typically asymptomatic.
- The lesion's location suggests a possible link to trauma or irritation from the ear piercing.
Implications:
- This case expands the known clinical spectrum of verruciform xanthomas.
- It underscores the importance of considering verruciform xanthoma in the differential diagnosis of earlobe lesions, especially those with a history of piercing.
- Accurate diagnosis is crucial to avoid unnecessary treatments for misdiagnosed conditions.
