Chondrodermatitis nodularis helicis in Adult
Repeated trauma, pressure, and subsequent decreased blood flow and ischemic necrosis of the affected cartilage and overlying dermis are thought to promote this condition. This chronic pressure may be due to patients preferentially sleeping on the affected side of the head. Another possible cause is chronic pressure from cell phone use on the affected side. Cold, radiation therapy, and actinic damage may be exacerbating factors.
This condition is more common in middle-aged to elderly men with light skin phototypes. In men, CNH favors the helix, whereas in women, the antihelix is more commonly affected. The condition can rarely occur in children. There have been no reports of malignant degeneration.
H61.199 – Noninfective disorders of pinna, unspecified ear
76583009 – Chondrodermatitis nodularis helicis
- Squamous cell carcinoma
- Actinic keratosis
- Basal cell carcinoma
- Amelanotic melanoma
- Neurotic excoriation
- Foreign body reaction
- Cutaneous horn
- Calcinosis cutis
- Weathering nodules of the ears – can develop in patients with chronic actinic damage; lacks inflammation and ulceration