A 46-year-old man was presented with a 1-month history of bilateral auricular pain and swelling of the pinnae and followed by eye redness (attached images), pain, and photophobia. Examination Notable pain was present in the right wrist but no joint abnormalities were observed. Bilateral erythema, tenderness of the auricles and thickening and deformity of pinnae (sparing ear lobules) was observed. The right tympanic membrane was congested Ophthalmologic examination revealed bilateral congestion, inflammation of the conjunctival, episcleral, and scleral vessels.
The congested area did not blanch with the phenylephrine eyedrop instillation. What is the most likely diagnosis in this case? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM
