To the Editor.—
Chondrodermatitis of the ears was first described by Winkler in 1915 under the title of "Chondrodermatitis Nodularis Chronica Helicis." The lesions described in that study were small painful nodules with central crusts. The first report in the American literature was Foerster's2 in 1918 that reported painful nodular growths on the helix of the ear. Since these original case descriptions, further case reports have shown this lesion to be characterized as a painful nodule that occurs primarily in patients older than 40 years of age and rarely occurs before one is 20 years of age. Men are involved in approximately 90% of the cases in which the lesions occur predominantly located on the helix of the ear. Less common sites include the antihelix, tragus, concha, and the antitragus. This entity, infrequently described in women, seems to occur more often on the antihelix than on the helix. This
Lester AI. Chondrodermatitis Nodularis. Arch Dermatol. 1977;113(4):522. doi:10.1001/archderm.1977.01640040130031
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