Red ear syndrome precipitated by a dietary trigger: a case report.
Identifieur interne : 000285 ( PubMed/Corpus ); précédent : 000284; suivant : 000286Red ear syndrome precipitated by a dietary trigger: a case report.
Auteurs : Chung Chi Chan ; Susmita GhoshSource :
- Journal of medical case reports [ 1752-1947 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Beverages, Citrus sinensis.
- complications : Food Hypersensitivity.
- diagnosis : Food Hypersensitivity.
- etiology : Earache, Erythema.
- Female, Humans, Syndrome, Young Adult.
Abstract
Red ear syndrome is a rare condition characterized by episodic attacks of erythema of the ear accompanied by burning ear pain. Symptoms are brought on by touch, exertion, heat or cold, stress, neck movements and washing or brushing of hair. Diagnosis and treatment of this condition are challenging. The case we report here involves a woman whose symptoms were brought on by a dietary trigger: orange juice as well as stress, causing significant physical and psychological morbidity. Avoidance of triggers resulted in symptomatic improvement.
DOI: 10.1186/1752-1947-8-338
PubMed: 25303997
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Red ear syndrome precipitated by a dietary trigger: a case report.</title><author><name sortKey="Chan, Chung Chi" sort="Chan, Chung Chi" uniqKey="Chan C" first="Chung Chi" last="Chan">Chung Chi Chan</name><affiliation><nlm:affiliation>Department of Audiovestibular Medicine, St Ann's Hospital, St Ann's Road, London N15 3TH, UK. chung.chan@nhs.net.</nlm:affiliation></affiliation></author><author><name sortKey="Ghosh, Susmita" sort="Ghosh, Susmita" uniqKey="Ghosh S" first="Susmita" last="Ghosh">Susmita Ghosh</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25303997</idno><idno type="pmid">25303997</idno><idno type="doi">10.1186/1752-1947-8-338</idno><idno type="wicri:Area/PubMed/Corpus">000285</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Red ear syndrome precipitated by a dietary trigger: a case report.</title><author><name sortKey="Chan, Chung Chi" sort="Chan, Chung Chi" uniqKey="Chan C" first="Chung Chi" last="Chan">Chung Chi Chan</name><affiliation><nlm:affiliation>Department of Audiovestibular Medicine, St Ann's Hospital, St Ann's Road, London N15 3TH, UK. chung.chan@nhs.net.</nlm:affiliation></affiliation></author><author><name sortKey="Ghosh, Susmita" sort="Ghosh, Susmita" uniqKey="Ghosh S" first="Susmita" last="Ghosh">Susmita Ghosh</name></author></analytic><series><title level="j">Journal of medical case reports</title><idno type="eISSN">1752-1947</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Beverages (adverse effects)</term><term>Citrus sinensis (adverse effects)</term><term>Earache (etiology)</term><term>Erythema (etiology)</term><term>Female</term><term>Food Hypersensitivity (complications)</term><term>Food Hypersensitivity (diagnosis)</term><term>Humans</term><term>Syndrome</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Beverages</term><term>Citrus sinensis</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Food Hypersensitivity</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Food Hypersensitivity</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Earache</term><term>Erythema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Syndrome</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Red ear syndrome is a rare condition characterized by episodic attacks of erythema of the ear accompanied by burning ear pain. Symptoms are brought on by touch, exertion, heat or cold, stress, neck movements and washing or brushing of hair. Diagnosis and treatment of this condition are challenging. The case we report here involves a woman whose symptoms were brought on by a dietary trigger: orange juice as well as stress, causing significant physical and psychological morbidity. Avoidance of triggers resulted in symptomatic improvement.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25303997</PMID><DateCreated><Year>2014</Year><Month>10</Month><Day>16</Day></DateCreated><DateCompleted><Year>2015</Year><Month>05</Month><Day>21</Day></DateCompleted><DateRevised><Year>2015</Year><Month>10</Month><Day>29</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1752-1947</ISSN><JournalIssue CitedMedium="Internet"><Volume>8</Volume><PubDate><Year>2014</Year><Month>Oct</Month><Day>10</Day></PubDate></JournalIssue><Title>Journal of medical case reports</Title><ISOAbbreviation>J Med Case Rep</ISOAbbreviation></Journal><ArticleTitle>Red ear syndrome precipitated by a dietary trigger: a case report.</ArticleTitle><Pagination><MedlinePgn>338</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1752-1947-8-338</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Red ear syndrome is a rare condition characterized by episodic attacks of erythema of the ear accompanied by burning ear pain. Symptoms are brought on by touch, exertion, heat or cold, stress, neck movements and washing or brushing of hair. Diagnosis and treatment of this condition are challenging. The case we report here involves a woman whose symptoms were brought on by a dietary trigger: orange juice as well as stress, causing significant physical and psychological morbidity. Avoidance of triggers resulted in symptomatic improvement.</AbstractText><AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">A 22-year-old Caucasian woman who was a student presented twice to our department with evolving symptoms, the first time with hyperacusis (abnormal sound sensitivity arising from within the auditory system to sounds of moderate volume), intermittent right tinnitus and subjective hearing difficulties. She presented five years later with highly distressing episodes of erythematous ears, which were associated with burning pain around the ear and temporal areas, and intolerance to noise. After keeping a symptom diary, she identified orange juice and stress as triggers of her symptoms. No local head and neck pathology was present. Investigations and imaging were negative. Avoidance of triggers led to great symptomatic improvement. To the best of our knowledge, dietary triggers have not previously been reported as a trigger for this syndrome. This case shows a direct temporal link to a dietary trigger and supports a primary pathogenesis. Recognition and management of primary headache disorder and simple dietary and lifestyle changes brought about symptomatic relief.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Red ear syndrome is a little-known clinical syndrome of unknown etiology and management. To the best of our knowledge, our present case report is the first to describe primary red ear syndrome triggered by orange juice. Clinical benefit derived from avoidance of this trigger, which is already known to precipitate migraines, gives some insight into the pathogenesis of red ear syndrome.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chan</LastName><ForeName>Chung Chi</ForeName><Initials>CC</Initials><AffiliationInfo><Affiliation>Department of Audiovestibular Medicine, St Ann's Hospital, St Ann's Road, London N15 3TH, UK. chung.chan@nhs.net.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghosh</LastName><ForeName>Susmita</ForeName><Initials>S</Initials></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>Oct</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Med Case Rep</MedlineTA><NlmUniqueID>101293382</NlmUniqueID><ISSNLinking>1752-1947</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Neurology. 1997 Oct;49(4):1190</RefSource><PMID Version="1">9339735</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Neurology. 1996 Sep;47(3):617-20</RefSource><PMID Version="1">8797453</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cephalalgia. 2005 Aug;25(8):605-11</RefSource><PMID Version="1">16033386</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Headache Pain. 2005 Sep;6(4):271-3</RefSource><PMID Version="1">16362684</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cephalalgia. 2007 Feb;27(2):107-10</RefSource><PMID Version="1">17257229</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Curr Pain Headache Rep. 2007 Aug;11(4):313-6</RefSource><PMID Version="1">17686397</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cephalalgia. 2007 Nov;27(11):1286-7; 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