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chondrodermatitis nodularis chronica helicis (Winkler disease)
Etiology:
- habitually sleeping on the affected side
Epidemiology:
- most often seen in middle-aged or elderly men
Pathology:
- benign condition
- pressure between the head and the pillow at night
- can be precipitated by minor trauma,
- reduction in the local blood supply of the ear by a chilblain or with aging inhibits adequate healing
Clinical manifestations:
- chronic, small, painful nodule(s) on the helix of the ear
Complications: ulceration
Management:
1) symptomatic treatment
- avoid sleeping on the affected ear
- use soft pillow
- try to sleep evenly on both sides
2) patient education
General
dermatitis
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- DermNet NZ: Chondrodermatitis nodularis helicis
http://www.dermnetnz.org/lesions/chondrodermatitis.html