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To the Editor.—
Dr. Kocsard's comments concerning our article "Elastotic Nodules of the Antihelix" were appreciated and after reviewing the references mentioned, I would like to reemphasize the described nodules were semitranslucent with granular white-to-pink aggregates below an "orange-peel" surface. This is in contrast to the diffuse yellow nodules of obvious actinic damage.We found nodules of this particular color and morphology only on the anterior crus of the antihelix. Since the anterior crus is relatively protected from exposure by the helix and carcinoma is rare at this site, we felt the increasing prominence of the cartilage was a unique factor. Dr. Kocsard supports the thinking that the cartilage plays a role, however, we favor a mechanical rather than inflammatory etiology.Naming such an entity as "elastotic nodules of the anterior crus and the antihelix" has its owns problems.
Carter VH. ELASTOTIC NODULES OF THE ANTIHELIX-Reply. Arch Dermatol. 1970;101(3):370. doi:10.1001/archderm.1970.04000030114026