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THROUGH THE LENS
Year : 2016  |  Volume : 7  |  Issue : 1  |  Page : 67  

Painful wart in the ear?


Department of Dermatology, Venereology and Leprosy, Katuri Medical College and Hospital, Guntur, Andhra Pradesh, India

Date of Web Publication18-Jan-2016

Correspondence Address:
Dr. Chintaginjala Aruna
Department of Dermatology, Venerealogy and Leprosy, Katuri Medical College and Hospital, Chinakondrupadu, NH 16, Guntur - 522 019, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.174323

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How to cite this article:
Aruna C, Kollabathula H, Venkata RD, Alagappan SK. Painful wart in the ear?. Indian Dermatol Online J 2016;7:67

How to cite this URL:
Aruna C, Kollabathula H, Venkata RD, Alagappan SK. Painful wart in the ear?. Indian Dermatol Online J [serial online] 2016 [cited 2019 Dec 6];7:67. Available from: http://www.idoj.in/text.asp?2016/7/1/67/174323

A 25-year-old man was admitted to ENT ward with complaints of acute onset pain in the left ear of two days duration and was referred to our department for a small lesion in the same ear assuming it to be a wart. On examination, solitary, shiny, bluish-white tender papule was seen on the concha of the left ear [Figure 1]. On closer examination, it was found to be a tick that disengaged after instillation of a few drops of surgical spirit over it [Figure 2]. The patient had instantaneous relief of his pain and bite site healed with topical antibiotic without any sequelae. The patient was followed-up for one month with no evidence of any systemic illness suggestive of vector-borne illness.
Figure 1: Live tick attached to the left concha

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Figure 2:Closer view of the tick

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   Discussion Top


Ticks are blood-sucking ectoparasites of animals, humans being incidental hosts. Pain experienced by the patient after tick bite is often severe and drives them to seek immediate medical attention, although sometimes there may be a delay. There was a report of a 23-year-old girl presenting with a one month history of embedded tick near the clavicle.[1] Ticks may attach themselves anywhere on the body. Without a closer look, they may be mistaken for something else. Ashique reported a case in which the tick was mistaken for a mole by the patient and in our case for a wart.[2] Clinical manifestations are varied such as pain, local allergic response, granuloma formation, pruritic papules, or papular urticaria.[3] Ticks could be vectors for diseases such as Lyme disease, tick-borne-encephalitis, and tick-borne lymphadenopathy.

Various methods have been suggested for tick removal such as application of iodine, ether, chloroform, petrol, and kerosene. Removal of the tick by holding it as close to the skin as possible with a fine curved forceps seems to be the most preferred method.[4] Recently, cryotherapy has also been tried with success.[4] Persons who have undergone tick removal should be monitored for up to 30 days for signs and symptoms of tick-borne diseases.

 
   References Top

1.
Liu CC, Landeck L, Zheng M. Tick bite. Indian J Dermatol Venereol Leprol 2014;80:269-70.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Ashique KT. A t(r)icky mole behind the ear. Indian J Dermatol Venereol Leprol 2014;80:44-5.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.
Burns DA. Diseases caused by arthropods and other noxious animals. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's Textbook of Dermatology. 8th ed. Oxford: Blackwell Publishing Ltd; 2010. p. 38.33-6.  Back to cited text no. 3
    
4.
Pavlovic M, Alakeel A, Frances C. Tick removal with liquid nitrogen. JAMA Dermatol 2013;149:633.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2]



 

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