Evaluating external device-related friction is essential when managing localized auricular vascular lesions. Clinicians should recognize that angiolymphoid hyperplasia with eosinophilia (ALHE) can arise secondary to chronic mechanical irritation and may present with minimal tissue eosinophilia.
✦ The floor
Discussion
Signed responses from readers of the wire.
Clinicians should consider device-related friction as a possible trigger for rare auricular soft-tissue lesions; inspect the ear canal and outer ear for unusual growths in long-term hearing aid users, though this single case report does not warrant a change in routine fitting practice.
This case expands the differential diagnosis for auricular lesions in hearing aid users and underscores the importance of regular device-fit checks to minimize chronic tissue irritation.
- 01Rare auricular angiolymphoid hyperplasia with eosinophilia (ALHE) linked to chronic hearing aid wear reported.
- 02Chronic friction and pressure from the hearing aid device is proposed as the causative mechanism.
- 03Published in Clinical Case Reports; single case — lowest Oxford CEBM evidence level (4).
- 04Clinicians should add device-related friction to the differential for unusual auricular lesions.
- 05No changes to standard hearing aid fitting protocols are warranted from a single case.
Chronic hearing aid use can cause auricular angiolymphoid hyperplasia with eosinophilia via device-related friction.
studypartially supported- PMID
- 42657189
- DOI
- 10.1002/ccr3.73406.
- Journal
- Clinical Case Reports
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Individual patient with chronic hearing aid use presenting with auricular lesion
- Intervention
- Chronic hearing aid wear
Primary outcomes
Diagnosis of auricular angiolymphoid hyperplasia with eosinophilia; Association with device-related friction