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Recurrent auricular inflammation with pain and swelling is due to the composition and environmental exposures experienced by the constituent parts of the ear. A painful, swollen ear may suggest acute perichondritis, subperichondrial hematoma or relapsing polychondritis (RP). Here, we report a case of a 51-year-old Asian man who had an approximately 2-year history of recurrent auricular swelling and was referred for suspected RP. Biopsy of the lesion revealed the formation of lymphoid follicles with a dense infiltrate of lymphocytes, histiocytes and eosinophils. His serum IgE level was 12 040 U/mL (normal range 0–358). These findings suggest that the patient had Kimura’s disease (KD). Physicians should be aware of KD as a potential cause of recurrent auricular inflammation.

Recurrent auricular inflammation caused by Kimura’s disease: reminiscent of the early phase of relapsing polychondritis?