Milian's ear sign of erysipelas

A 65-year-old woman presented with 2 days of acute onset fever, with left pinna pain, swelling and erythema (figures 1 and 2). She had no significant medical history. Physical examination revealed a body temperature of 38.0°C, facial rash sparing the nasolabial fold and Milian’s ear sign. Laboratory data showed neutrophilic leucocytosis. Erysipelas was diagnosed and treated with oral amoxicillin …