Fig. 1
T1 right ear showed a buttonhole ulcer about 0.5 cm in the widest dimension with inflamed surrounding skin. T2 left ear showed a smaller buttonhole ulcer measuring 0.4 cm in the widest dimension. T2 right ear showed a 2 cm × 0.2 cm ulcer along the rim of the lobule with a necrotic bed and inflamed surrounding skin. T2 left ear had an ulcer measuring about 3 cm × 2 cm × 1 cm affecting whole thickness of the lobule with inflamed surrounding skin