Chondrodermatitis of the Ears

Barker, Leslie; Young, Alexander W.; Sachs, Wilbert

doi:10.1001/archderm.1960.03730010019002

Cited by 21 publications

(4 citation statements)

References 2 publications

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“…1 It is an uncommon disorder of middle-aged and elderly individuals, with a preponderance toward males. 2 It has rarely been reported in children. 3 It usually involves helical rim in men and the antihelix in women.…”

Section: Discussionmentioning

confidence: 99%

A Man With Painful Nodules on Both Ears

Khurana

Solanki

Dhingra

2015

JAMA Otolaryngol Head Neck Surg

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A man in his 40s presented with a 2-year history of a few small painful nodules on both ears. The nodules were painful on touch, especially while the patient was sleeping in a lateral position. There was no history of trauma. However, he used to wear a cap, which created pressure and friction on the upper part of both ears. On examination, the free border of the helix of both the ears showed a few dull red, dome-shaped, firm nodules 2 to 3 mm in size with central crusting (Figure, A). They were tender on palpation. No cervical lymphadenopathy was observed. One of the nodules on the right ear was excised; histopathologic features of the nodule are shown in the Figure, B. It showed a sharply defined, centrally depressed ulcer covered by a hyperkeratotic parakeratotic scale, occasional bacterial colonies, and plasma. The adjacent epidermis showed hyperplasia. The base of ulcer showed eosinophilic degeneration of collagen and solar elastosis. In addition, there were a few proliferating blood vessels and mild lymphomononuclear infiltrate. Underlying cartilage was not seen in the section. On serial sectioning, cartilage was seen and found to be normal.A B

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Section: Discussionmentioning

confidence: 99%

A Man With Painful Nodules on Both Ears

Khurana

Solanki

Dhingra

2015

JAMA Otolaryngol Head Neck Surg

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“…XVI keratoses, angioma, ectasias and the hyperkeratoses. Degenerative vascular damage may predispose to pressure nodules (3) and anthelix nodules (4). A possible exception is essential senile pruritis in which impairment of the central nervous system may playa part (5).…”

Section: Clinical Materialsmentioning

confidence: 99%

Skin Problems in the Geriatric and General Hospital: Incidence, Scope, Cause

Young

Miller

1968

J American Geriatrics Society

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Five hundred and forty‐three patients (random sampling) were examined for skin disorders according to the following groups: A) 388 geriatric patients in a chronic disease hospital, B) 74 geriatric patients in a general hospital, and C) 81 younger patients in a general hospital. A cutaneous disorder was found in 440 of the 543 patients, and 56 per cent of these disorders were of the type requiring specialized attention. Factors which influenced the incidence of skin disease, especially in the geriatric patients, included the degree of ambulation, length of hospital stay, previous skin care, environment, emotional adjustment, medication, associated medical disorders, and past dermatological disease. The most important disorders in the geriatric patients included essential senile pruritis, epithelioma, cutaneous ulceration, pemphigoid, psoriasis, precancerous lesions, neurodermatoses, intertrigo, contact dermatitis, pyoderma and mycotic infections. The high incidence of these cutaneous diseases, especially in geriatric patients, justifies routine dermatological rounds in hospital wards as a factor in the total care of the patient.

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“…Senile tibial nodules deserve a place in the dermatogeriatric spectrum, to be included with senile seborrhea (3), senile tibial erosion (3), the dry type of autosensitization (4), the anthelix (5) and the foot nodule (6).…”

Section: Commentmentioning

confidence: 99%

Senile Tibial Nodules

Young

1968

J American Geriatrics Society

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In a series of 462 geriatric patients, 22 had senile tibial nodules. The incidence, clinical appearance and diagnosis are discussed. The nodules are split-pea sized, palpable but rarely visible lesions found in the tibial fat in older geriatric women. Although the pathogenesis cannot be firmly established, they may be related to underlying progressive vascular disease.Senile tibial nodules are split-pea sized palpable lesions found on the edge of the anterior tibial crest in old women. They may occur singly or in a group of three or four nodules separated by varying distances. They are asymptomatic, movable and not attached to underlying structures. No patient can relate their onset to injury or preceding inflammation. The condition originally was described by us in 3 cases in 1965 (1) (Fig. 1).In this paper the findings in an additional 22 cases are presented, together with a discussion of their possible significance. MATERIALS AND METHODSFour hundred and sixty-two geriatric and chronically ill patients (358 women and 104 men) were examined at St. Luke's Hospital Center, St. Barnabas Hospital and the House of the Holy Comforter. The average age was 72.2 years, with a range of 60 to 97 years. Sex, age, the dermatological diagnosis and past history, and the medical diagnoses were recorded in each case. Biopsy specimens obtained from 6 typical nodules were studied by routine hematoxylin-eosin stain, after decalcification. OBSERVATIONS Incidence: Of the 462 patients, 22 had tibial nodules-an incidence of 4.7 per cent. The nodules constituted 4 per cent of the 549 diagnoses.Sex: All the patients with nodules were women. Age: For the patients with nodules, the average age was 78.5, with a range of 64 to 97 years. No nodules were found in the patients at St. Luke's Hospital Center; their average age was 70.4, with a range of 60 to 86 years. At St. Barnabas Hospital and The House of the Holy Comforter the average age of the patients was 74, with a range of 37 to 99 years.Dermatological history: Four patients gave a history of prior skin diseases-gluteal erosion, stasis dermatitis, drug eruption (penicillin), and herpes zoster. Sixteen patients had other dermatological lesions, as listed in Table 1.Medical disorders: Table 2 shows the medical conditions found in the patients with nodules.Pathology (Fig. 2): A composite picture of senile tibial nodules reveals

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Chondrodermatitis of the Ears

Cited by 21 publications

References 2 publications

A Man With Painful Nodules on Both Ears

A Man With Painful Nodules on Both Ears

Skin Problems in the Geriatric and General Hospital: Incidence, Scope, Cause

Senile Tibial Nodules

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