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Milian’s ear sign of erysipelas
  1. Kiyoshi Shikino,
  2. Masatomi Ikusaka
  1. Department of General Medicine, Chiba University Hospital, Chiba, Japan
  1. Correspondence to Dr Kiyoshi Shikino, General Medicine, Chiba University Hospital, Chiba 260-8677, Japan; kshikino{at}

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A 65-year-old woman presented with 2 days of acute onset fever, with left pinna pain, swelling and erythema (figures 1 and 2). She had no significant medical history. Physical examination revealed a body temperature of 38.0°C, facial rash sparing the nasolabial fold and Milian’s ear sign. Laboratory data showed neutrophilic leucocytosis. Erysipelas was diagnosed and treated with oral amoxicillin …

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  • Contributors KS: cared for the patient and wrote the report. KS and MI: read and approved the final version of the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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