Long-Term Allergic Rhinitis and Ear Lobe Growth - Otolaryngology

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Chronic allergic rhinitis


Hi! Doctor, hello! I have had chronic allergic rhinitis, and in June of this year, a lump the size of a bean appeared above my earlobe.
I consulted a traditional Chinese medicine practitioner who said it was not painful and not a concern.
On November 18, I applied something similar to an ointment, and the next day it swelled and became somewhat painful.
It is now about 1 cm, up from the original 0.5 cm.
Thank you!

mei, 10~19 year old female. Ask Date: 2000/11/22

Dr. Wu Yuxin reply Otolaryngology


Jessica: There is a lump that has formed above the earlobe, which has now swollen and is painful.
It sounds like the existing sebaceous cyst may have become infected (similar to a larger pimple), but a proper assessment can only be made through examination.
I recommend that you visit a clinic for a check-up for safety.
If it is a bacterial infection of a sebaceous cyst, early treatment with antibiotics and anti-inflammatory medications should help alleviate the symptoms.
However, if treatment is delayed and the infection spreads to cellulitis or even becomes abscessed, surgical drainage may be necessary.

Reply Date: 2000/11/22

More Info


Long-term allergic rhinitis can have a variety of effects on the body, including potential complications that may arise in the ear, nose, and throat region. In your case, the growth you described above your earlobe, which has increased in size and become painful, warrants further investigation.
Allergic rhinitis is characterized by inflammation of the nasal passages due to allergens, leading to symptoms such as sneezing, nasal congestion, and itchy eyes. This condition can also lead to complications such as sinusitis, which may affect the ears and lead to conditions like Eustachian tube dysfunction. This dysfunction can cause a sensation of fullness in the ears, and in some cases, it may contribute to hearing issues.
The growth you mentioned, which resembles a small lump or cyst, could be a sebaceous cyst, a lipoma, or even an infected hair follicle. Given that it has increased in size and has become painful, it is crucial to have it evaluated by a healthcare professional. The fact that it became swollen and painful after applying a topical ointment suggests that it may have become infected. Infections can lead to complications if not treated promptly, such as cellulitis or abscess formation, which may require drainage and antibiotic treatment.

In terms of management, if the growth is indeed a cyst or lipoma, and it is not causing significant discomfort or complications, it may be monitored over time. However, if it continues to grow or becomes increasingly painful, surgical removal may be recommended. This is particularly true if there is a concern about infection or if the growth is causing cosmetic concerns.

For your allergic rhinitis, it is essential to manage the underlying condition to prevent further complications. This can include avoiding known allergens, using antihistamines, nasal corticosteroids, and other medications as prescribed by your healthcare provider. Additionally, regular follow-ups with an allergist or an ear, nose, and throat (ENT) specialist can help monitor your condition and adjust treatment as necessary.

In summary, while long-term allergic rhinitis can lead to various complications, the growth you are experiencing above your earlobe should be evaluated by a healthcare professional to determine its nature and appropriate treatment. Managing your allergic rhinitis effectively may also help reduce the risk of related complications in the future. Always consult with your healthcare provider for personalized advice and treatment options.

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