Elastotic nodules of the antihelix

Carter, V. H.

doi:10.1001/archderm.100.3.282

Cited by 12 publications

(8 citation statements)

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“…1,5 The hypothesis of cartilaginous metaplasia may be related with the actinic damage, considering that prolonged sun exposure could stimulate this phenomenon. Another possible influence is the localization on the helices and antihelices of the ears, regions with a thin layer of subcutaneous tissue and poor vascularization.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of weathering nodules of the ear in patients treated at the state civil servant's hospital of São Paulo, Brazil*

Cilento

Valente

2013

An. Bras. Dermatol.

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BACKGROUNDWeathering nodules of the ear are pale yellow, asymptomatic lesions which predominate on the helices of the ears. Although their pathogenesis remains unknown, there is an association with chronic exposure to ultraviolet radiation, age and thermal injuries. Few studies have been conducted to date, and these involved a very small number of patients. OBJECTIVEStudy the prevalence of weathering nodules of the ear in patients treated in the Dermatology Service of the State Civil Servant's Hospital of São Paulo, and evaluate their probable relationship with sun exposure, age and phototypes I and II. METHODSFour hundred patients older than 20 years of age were examined between July 2008 and December 2008. A questionnaire evaluating age, sex, place of birth, origin, occupation and history of sun exposure was applied. All patients were examined and evaluated for the presence of lesions by only one person. RESULTSThe data showed that 155 (38.8%) patients had a lesion in at least one of the ears. The Chi-Square Test was used for the comparative analysis between the groups of patients with and without lesions. In the group of patients with lesions, 29% were 70 to 79 years old, 78.1% had a history of sun exposure and 45.1% belonged to FITZPATRICK skin phototypes I and II (p<0.05%). CONCLUSIONThe findings suggest relevant prevalence, probable association with chronic sun exposure, advanced age and phototypes I and II.

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Section: Discussionmentioning

confidence: 99%

“…However, the weathering nodules of the ears take on clinical and histopathological characteristics that differentiate them from such entities. 5,6, 7 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of weathering nodules of the ear in patients treated at the state civil servant's hospital of São Paulo, Brazil*

Cilento

Valente

2013

An. Bras. Dermatol.

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“…In patients with elastotic nodules, histopathology shows significant actinic damage. The lesions are usually bilateral and asymptomatic [23,24]. When the diagnosis of CNCH cannot be established securely clinically, histopathological examination is mandatory.…”

Section: Differential Diagnosesmentioning

confidence: 99%

Clinical appearance, differential diagnoses and therapeutical options of chondrodermatitis nodularis chronica helicis Winkler

Wagner¹,

Liefeith²,

Sachse³

2011

J Deutsche Derma Gesell

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SummaryThe article on chondrodermatitis nodularis chronica helicis summarizes various clinical pictures and differential diagnoses of this entity. This lesion is usually characterized by a solid or cystic nodule but ulcerations or crusts may also occur. The most common differential diagnoses include benign or malignant tumours, which are often confused with chondrodermatitis nodularis chronica helicis. The characteristic pain associated with this condition may serve as an important diagnostic clue in order to rule out other differential diagnoses. The therapy of chondrodermatitis nodularis chronica helices encompasses several conservative as well as surgical treatment options.

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“…Elastotic nodule of the ears are characterized by small pale papules and nodules which usually develop bilaterally on the anterior crus of the antihelix in response to actinic damage (Carter et al 1969). Clinically, these lesions may be misdiagnosed as basal cell carcinoma or some infiltrative process such as gout or amyloid.…”

mentioning

confidence: 99%

“…Although not uncommon, there have been no reports of elastotic nodules of the ear since the original description (Carter et al 1969), with the result that few dermatologists and pathologists are aware of this entity.…”

mentioning

confidence: 99%