I noticed a strange patch of skin on my son’s ear this morning. His doctor appointment is still a week away — what should I do in the meantime?

Pain or discomfort: Does your child complain of itching, burning, or tenderness?

Onset and progression: Did it appear suddenly, or has it been slowly developing? Has it changed in size, color, or texture since you noticed it?

Tip: Taking a photograph of the patch every day can help you track subtle changes and provide useful information to the doctor. Make sure the lighting is consistent, and include a reference (like a coin) for size comparison.

2. Possible Causes of Skin Changes on the Ear
Several conditions could cause a new patch of skin on a child’s ear. While a professional evaluation is necessary for a definitive diagnosis, understanding possible causes can help guide temporary management.

a. Infectious Causes
Bacterial Infections

Conditions such as impetigo often appear as red sores that may ooze or form yellow crusts.

Commonly caused by Staphylococcus aureus or Streptococcus bacteria.

Symptoms may include mild swelling, warmth, or tenderness.

Fungal Infections

Yeast or dermatophyte infections can cause patches that are red, scaly, or itchy.

Tinea (ringworm) may appear as a round, red, scaly patch that spreads slowly.

Viral Infections

Molluscum contagiosum can appear as small, flesh-colored or pearly bumps.

Viral rashes (like those from chickenpox or measles) might involve the ear but often appear alongside systemic symptoms like fever.

b. Inflammatory or Allergic Causes
Eczema (Atopic Dermatitis)

Often presents as dry, itchy, or scaly patches.

Can occur on the ear, face, or behind the ears.

Usually associated with a personal or family history of eczema, asthma, or allergies.

Contact Dermatitis

Triggered by irritation or allergens, such as soaps, shampoos, earrings, or headphones.

Typically red, itchy, and may blister or peel.

The distribution often corresponds to the area in contact with the allergen.

c. Skin Growths and Other Conditions
Birthmarks or Moles

Usually present from birth or early childhood.

Any rapid change in size, color, or shape warrants a medical review.

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