Case Report


Auricular ossification in a patient with congenital anterior pituitary hypoplasia

,  ,  ,  

1 Department of Internal Medicine and Department of Endocrinology and Diabetes, Texas Tech University Health Science Center, Odessa, Texas, United States

2 Burrell College of Osteopathic Medicine at New Mexico State University, Las Cruces, New Mexico, United States

Address correspondence to:

Orlando Artavia

MD, Clinical Faculty Professor, Internal Medicine Department, Eastern New Mexico Medical Center, Burrell College of Osteopathic Medicine at New Mexico State University, 405 W Country Club Rd, Roswell, New Mexico 88201,

United States

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Article ID: 101133Z01AH2020

doi: 10.5348/101133Z01AH2020CR

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How to cite this article

Haider A, Artavia O, Dhindsa S, Chaar N. Auricular ossification in a patient with congenital anterior pituitary hypoplasia. Int J Case Rep Images 2020;11:101133Z01AH2020.

ABSTRACT


Introduction: Ossification of auricular cartilage was first described in 1866 and its incidence is unclear, it is most commonly caused by trauma, frostbite, and inflammation but metabolic disorders have also been associated with it.

Case Report: A 38-year-old male with long-term diagnosis of hypopituitarism with poor adherence to treatment presented with bilateral auricular calcification. The patient had improvement of pain in the ears once reported compliance with medication but calcification of ears showed to be not reversible with treatment.

Conclusion: The pathophysiology of bilateral auricular calcification in metabolic cases remains unclear but cortisol deficiency seems to have an important role. Treatment with hormonal replacement shows improvement of pain but there was no reversibility of auricular calcification.

Keywords: Auricular calcification, Cortisol deficiency, Petrified ear

SUPPORTING INFORMATION


Author Contributions

Adnan Haider - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Orlando Artavia - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sandeep Dhindsa - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Natalia Chaar - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (e.g., honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (e.g., personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

Copyright

© 2020 Adnan Haider et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.