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October 1989

Ossification of the Auricular Cartilages in Patients With Adrenal Insufficiency

Author Affiliations

Petah Tiqvah, Israel

Arch Otolaryngol Head Neck Surg. 1989;115(10):1254-1255. doi:10.1001/archotol.1989.01860340108031

To the Editor.—Ossification of the auricle is a scarcely reported entity, occurring most often as a result of local trauma, frostbite, or gout. Systemic disease is another cause of this disorder, and, to date, 24 such cases were reported in conjunction with Addison's disease.1-6

The paucity of articles on ossification of the auricles perhaps may explain the fact that no mention of this condition is made in many of the textbooks discussing Addison's disease.

Surprisingly, Jarvis et al3 reported a high incidence of this phenomenon in patients with Addison's disease, with varying severity from moderate stiffness to stony-hard ears. Calcification of the auricular cartilage was present in 6 (5% ) of their 120 patients, and, in some, a true trabecular pattern indicated that metaplastic ossification appeared to be present.

We have found 3 out of nearly 50 patients with Addison's disease who were seen in our hospital in

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