Accessory tragus

Deba P Sarma, MD Omaha

Normal epidermis. Dermis and subcutaneous adipose tissue. Hyaline cartilage in the center running longitudinally.

Congenital anomaly of the first branchial arch. Clinical finding: Small, skin-colored papule or nodule anterior to the tragus.

Microscopic finding: Normal epidermis covers the raised papule containing adipose tissue, normal adnexal structures ( hair, sebaceous glands and eccrine glands) and a central cartilaginous core. Presence of the cartilage is not necessary to make the diagnosis. Differential diagnosis: Acrochordon.