• Triggered by cutaneous or thermal stimulation of the ear D. The ear pain is accompanied by ipsilateral redness of external ear. E. Attacks occur with a frequency of >1… Click to show full abstract
• Triggered by cutaneous or thermal stimulation of the ear D. The ear pain is accompanied by ipsilateral redness of external ear. E. Attacks occur with a frequency of >1 per day, although cases with lower frequencymay occur. F. Not attributed to another disorder. T he red ear syndrome (RES) is characterized by episodic attacks of pain and erythema of the ear pine. It has been rarely reported in the literature, even less affecting children. This syndrome must be considered in differential diagnosis of patients experiencing certain symptoms described hereinafter. We report a case of a 10-year-old boy who presented at the emergency department with severe and burning pain in his right ear and surrounding scalp for 2 hours, associated with redness and patchy hypoesthesia localized at the temporal region as well as hearing loss. The patient did not report previous trauma or recognize any trigger, although he mentioned having experienced several episodes of headache that were diagnosed with migraine. His physical examination showed ear redness with scratch marks over it and in crease of local temperature.Otoscopy showed no abnormal findings (Fig. 1). Hypoesthesia referred over the right laterocervical and auricular regions was the only abnormal feature on neurological examination.
               
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