title: 'Lambing ears': a blistering disorder affecting farmers at lambing time.
abstract: BACKGROUND
  At lambing time some farmers experience blistering and crusting of the pinnae. This occupational disease, termed 'lambing ears', does not feature in the medical literature.
  
  
  OBJECTIVE
  To define the condition and explore its pathogenesis.
  
  
  METHODS
  We obtained five biopsies from affected individuals and sent questionnaires to 69 farmers in the U.K. Farming communities abroad were also contacted.
  
  
  RESULTS
  The eruption lasts for the duration of the lambing practice. The histological features are dominated by a pandermal perivascular and diffuse, predominantly T-cell lymphocytic infiltrate. Only the pinnae are affected and its incidence is related to the degree of involvement a farmer has with the animals around parturition. The condition also occurs, but less frequently, in farmers who are calving.
  
  
  CONCLUSIONS
  This occupational disease occurs with close contact to lambing ewes or calving cows. The histology and distribution are comparable with the juvenile spring eruption variant of polymorphic light eruption, but its demographics are unique.
authors.affiliation: Department of ENT Surgery, Southampton University Hospitals NHS Trust, Southampton, UK. huckleheathcote@btinternet.com
authors.forename: K
authors.initials: K
authors.lastname: Heathcote
authors.forename: J M
authors.initials: JM
authors.lastname: Theaker
authors.forename: N
authors.initials: N
authors.lastname: Gibbins
authors.forename: E
authors.initials: E
authors.lastname: Healy
authors.forename: G B
authors.initials: GB
authors.lastname: Heathcote
authors.forename: P S
authors.initials: PS
authors.lastname: Friedmann
mesh_terms: D000328:Adult; D000382:Agricultural Workers' Diseases / Q000209:etiology* / Q000473:pathology; D000822:Animal Husbandry; D000818:Animals; D001706:Biopsy; D004427:Ear Diseases / Q000209:etiology* / Q000473:pathology; D004431:Ear, External / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D034561:Sheep, Domestic; D012872:Skin Diseases, Vesiculobullous / Q000209:etiology / Q000473:pathology