Red Ear Syndrome: A Case Report and Review of Literature

Red ear syndrome (RES) is a rare disorder characterized by episodic erythema, warmth, and burning pain of the external ear. RES is frequently associated with migraine. We report the case of a 35-year-old male with a long-standing history of poorly controlled migraine who presented with recurrent bilateral auricular erythema and burning pain, predominantly affecting the left ear. Symptoms were triggered by migraine attacks, heat exposure, and ear manipulation and relieved by cooling measures. Clinical examination, laboratory investigations, and imaging were normal. RES was diagnosed after excluding infectious and inflammatory causes. Treatment with indomethacin and magnesium resulted in complete symptom resolution. RES should be considered in patients with recurrent auricular erythema and burning pain, particularly in those with migraine. Careful clinical assessment and systematic exclusion of alternative diagnoses are crucial for identifying RES and preventing inappropriate management.