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New tender, bleeding papule on the left ear. | LitMetric

New tender, bleeding papule on the left ear.

BMJ Case Rep

Harvard Medical School, Boston, Massachusetts, USA.

Published: January 2024

AI Article Synopsis

  • - Chondrodermatitis nodularis helicis (CNH) is an inflammatory skin condition affecting the ear, often caused by pressure, leading to painful nodules with symptoms like redness and bleeding.
  • - A case study highlights a woman in her 60s with a painful spot on her left ear, linked to cell phone use rather than the common cause of sleeping on the affected side.
  • - A biopsy confirmed the diagnosis of CNH, ruling out skin cancer, emphasizing that other sources of pressure, like using a phone, can also trigger this condition.

Article Abstract

Chondrodermatitis nodularis helicis (CNH) is a painful, inflammatory condition that impacts the skin of the ear. It is commonly associated with pressure on the pinna causing a nodule that may have erythema, bleeding and exudate. We present a case of a woman in her 60s with a history of basal cell carcinoma who presented with a new tender spot on the antihelix of her left ear. The tenderness of the new spot forced her to switch from holding her phone to her left ear to using her right ear. A shave biopsy confirmed CNH and ruled out non-melanoma skin cancer. Although most prior cases report association with sleeping on the side of the affected ear, this case was attributed to cell phone use. It is important to remember that non-traditional sources of pressure can also lead to CNH.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10806893PMC
http://dx.doi.org/10.1136/bcr-2023-258101DOI Listing

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