Two Erythematous Nodules on the Left Ear in a 9-month- old Female Infant

CASE REPORT A 9-month-old, full-term, healthy female infant presented with a 1-month history of skin eruptions on her left auricle. There was no other specific medical history. On examination, there were two erythematous shiny nodules on her left ear (Fig. 1). One on the antihelix was 7 mm in size with an ulceration in the center. The other was on the helix and was 2 mm, with a smooth surface. The larger nodule was excised with the specimen submitted for pathology examination (Fig. 2). According to the patient's family, she was habitually put to sleep on her left side since birth. Two months before the onset of eruptions, she had began to sleep on a hard pillow filled with green bean shells (Fig. 3). There was no history of trauma or extensive sun exposure. We recommended that her family change the patient's sleeping positions and switch to a soft pillow. Six months later, the smaller nodule had resolved spontaneously and there was only a tiny scar where the larger nodule had been excised (Fig. 4).