A 58-year old patient who presented with painful ears. He had sensitivity and tenderness in the upper part of his ears three months previously, but over the preceding six weeks his ears had become very red and sore. He also had some ringing and a feeling of air block in his ears. Around a month earlier, he attended the local eye hospital with red eyes and was diagnosed of episcleritis. He was treated with steroid eye drops, which improved his symptoms.
He had generally felt more tired than usual and also had intermittent pains in his joints, mainly his wrists, finger joints and knees. He had mild asthma but is otherwise fit and well and was not taking any regular medication. What can be the probable diagnosis for this patient? * This image based case is from Docplexus editorial team for educative purpose only. Source: Haymarket group, GP online
