Dermatitis of the Ear Canal

(Chronic External Otitis)

ByBradley W. Kesser, MD, University of Virginia School of Medicine
Reviewed/Revised Feb 2024
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Dermatitis of the ear canal is itching, scaling, flaking, and swelling of the skin of the ear canal and skin at the entrance of the ear canal.

There are 2 types of dermatitis of the ear canal:

  • Contact dermatitis

  • Eczema (aural eczematoid dermatitis)

Causes of Dermatitis of the Ear Canal

Contact dermatitis of the ear canal is an allergic reaction to triggers such as nickel-containing earrings and numerous beauty products (for example, hairsprays, lotions, and hair dye). Putting some substances in the ear (such as water or cotton swabs) can worsen the condition.

Aural eczematoid dermatitis of the ear canal can occur spontaneously in some people who have certain kinds of dermatitis-like conditions such as seborrheic dermatitis and psoriasis.

The skin irritation and cracking caused by dermatitis may enable bacterial or fungal ear canal infections (acute external otitis) to develop.

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Symptoms of Dermatitis of the Ear Canal

Both types of dermatitis cause itching, redness, a clear discharge or moisture, and peeling, darkening, and painful cracking of the skin. In contrast, the first symptom of a bacterial infection is typically severe ear pain. Fungal ear canal infection causes more intense itching than pain.

Diagnosis of Dermatitis of the Ear Canal

  • A doctor's examination

Doctors can usually diagnose dermatitis of the ear canal based on symptoms and results of the physical examination.

Treatment of Dermatitis of the Ear Canal

  • Topical (and for severe cases, oral) corticosteroids

  • For contact dermatitis, elimination of allergic triggers

To treat contact dermatitis,

To treat aural eczematoid dermatitis,

People with either type of dermatitis should avoid putting cotton swabs, water, and other possibly irritating substances in the ear.

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