PAINFUL ear nodule is a small keratotic lesion on the edge of the superior and transverse part of the helix. The patient presents himself because of pain severe enough to awaken him at night. Management is difficult because the lesion is usually mistaken for carcinoma, and because recurrence commonly follows removal.
The disorder was originally described in 1916 by Winkler of Switzerland and was designated "chondrodermatitis nodularis chronica helicis." It was named "painful nodular growth of the ear" by Foerster of this country when he independently described the lesion two years later. Subsequent reports are practically limited to dermatological and roentgenological journals, mostly in foreign literature.
The histories related by the patients are typically uniform and immediately indicate the diagnosis. A small nodule at the upper edge of the external ear becomes so painful to touch that a hat cannot be worn. Pain awakens him at night when he turns
THOMETZ RW. PAINFUL EAR NODULE. AMA Arch Otolaryngol. 1952;55(2):153–156. doi:10.1001/archotol.1952.00710010162005
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