Challenger Medical Education Blog

Pediatrics case: 14‑y girl with earlobe dermatitis

Written by Med-Challenger | Feb 20, 2025 4:15:00 PM

Quick take: This pediatrics case tests diagnosis and management of earlobe dermatitis in an adolescent. Focus on distinguishing allergic contact dermatitis, impetigo, and otitis externa — exam-style reasoning for Peds/EM board prep.

A 14-year-old girl recently had her ears pierced. She purchased earrings that she had worn for less than 24 hours when the following dermatitis was noted on her earlobe (see Figure).

Figure.

What is the likely component in the earring resulting in this presentation?

  • gold
  • silver
  • mercury
  • nickel

This question appears in Med-Challenger Emergency Medicine Review with CME

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