The ear shows marked near confluence of erythema of varying intensity. There is scale crust and some weeping in the bowl of the ear. A culture is warranted.

Severe external otitis of the entire ear. The ear is swollen, tender, and crusted. A bacterial source should be considered, and awareness of potential contact allergens is prudent.

Mild inflammation with scaling and a faint pink erythema anterior to the ear, suggesting psoriasis or seborrheic dermatitis. This will usually resolve with a mild topical steroid solution.