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Petrified pinna and pericarditis in autoimmune polyendocrine syndrome
  1. Yub Raj Sedhai1 and
  2. Soney Basnyat2
  1. 1 Internal Medicine, VCU School of Medicine, South Hill, Virginia, USA
  2. 2 Internal Medicine, St Mary Mercy Hospital, Livonia, Michigan, USA
  1. Correspondence to Dr Yub Raj Sedhai, dr.sedhai{at}


Petrified pinna refers to the calcification or ossification of the external auricular cartilage. It is an uncommon clinical entity and is most often associated with local trauma, frostbite or inflammation. Auricular calcification may be the exclusive cutaneous marker of underlying endocrinopathy. It has been most commonly associated with adrenal insufficiency and other endocrine conditions like diabetes mellitus, hypothyroidism and acromegaly. We present a 47-year-old Caucasian man who presented with acute pericarditis with tamponade physiology, who was found to have petrified pinnae as a telltale sign of the underlying autoimmune polyendocrine syndrome type 2.

  • adrenal disorders
  • thyroid disease
  • pericardial disease
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  • Contributors YRS conceived the concept and wrote the entire manuscript. SB assisted YRS in preparing the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Correction notice This article has been corrected since it was first published online, Figure 2 caption has been updated and spacing error in Abstract has been corrected.

  • Presented at This case report was previously presented by the corresponding author at the Society of Critical Care Medicine (SCCM) conference available at Sedhai YR, Jain S, Asija A, Mohammed A, Mir A, Dar T, Jilani A, Valentino D. 1240: Acute pericarditis: a rare presentation of autoimmune polyglandular syndrome type II (aps II). Crit Care Med 2015;43(12):312.

  • Patient consent for publication Obtained.

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