[Bilateral chondritis of the ears].

A 68-year-old male patient was admitted to the internal medicine department due to a 10 kg weight loss in a 6 month period. This was accompanied by night sweating and red spots on the arms and legs which were painful, lingered on for several days and disappeared leaving a hyperpigmented lesion. The patient had also been constipated for a month before his admission. He had no history of contact with animals, recent travel or infectious processes. He was in an adequate general state, had mild fever and no palpable peripheral lymphadenopathy. His heart and lungs were normal. The abdomen was normal. He had residual hyperpigmented spots on the extremities. Laboratory analysis revealed an ESR of 120 mm/h, CRP of 14.90 mg/dL, and Hb of 9.6 g/dL with a MCV of 90.9. Tumor markers (CEA, CA 15,3, CA 19,9, PSA AFP, B2 microglobulin), thyroid function tests, rheumatoid factor, and autoantibodies (ANA, ENA and ANCA) were negative. Serology (HBV, HCV, Lyme, Coxyella, Rickettsia, CMV, toxoplasma, and parvovirus) as well as Mantoux A R T I C L E I N F O