[Two cases of XXXX ].

@entity1 @entity4013 @entity2167 @entity2059 @entity12734
We report two cases of @entity2167 . Case 1: A 44-year-old @entity1 suffered from severe itching in the right external auditory meatus for a year, and had also had @entity4013 unguium for several years. He visited our outpatient clinic because of scaly erythema which had developed on the auricle. Otoscopic examination revealed yellow-brown dry cerumen and redness from the cartilaginous to the bony portion of the external auditory meatus. Case 2: A 14-year-old @entity1 , the son of Case 1, suffered from severe itching in the left external auditory meatus. He scratched the auditory meatus with an earpick which his father had used. Otoscopic examination revealed a similar lesion as in the father's case, although he had no history of @entity4013 elsewhere on his body, including the auricle. Direct examination using a KOH method of the cerumen from both cases demonstrated numerous fungal elements. Fungal culture identified @entity12734 . Both cases were successfully treated with oral @entity2059 . We suggest that infection from father to son was transferred by the earpick.
