Perichondritis in Nuns Caused by Change of Headdress

Yaffee, Howard S.

doi:10.1001/archderm.1963.01590180063012

Cited by 15 publications

(8 citation statements)

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“…The striking and repeated observation that CDN is usually unilateral and occurs on the preferred sleeping side, suggests that pressure damage produced by the weight of the head pressing the ear into the pillow is the most important aetiological factor. Such a mechanism is similar to the cases of CDN described as a result of nuns' coiffs 7 or telephonists' ear pieces pressing on the ear 11 . When the ear is pressed into the pillow during sleep, the most protuberant portion of the ear is compressed more than other parts of the ear.…”

Section: Discussionmentioning

confidence: 62%

“…Several factors, including trauma, 7 degeneration 8 and actinic 9 or cold injury 10 have been considered by others to initiate CDN. The striking and repeated observation that CDN is usually unilateral and occurs on the preferred sleeping side, suggests that pressure damage produced by the weight of the head pressing the ear into the pillow is the most important aetiological factor.…”

Section: Discussionmentioning

confidence: 99%

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The long-term results of cartilage removal alone for the treatment of chondrodermatitis nodularis

Hudson‐Peacock

Cox

Lawrence

1999

British Journal of Dermatology

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Cartilage excision alone has been demonstrated to be an effective technique in the treatment of chondrodermatitis nodularis (CDN), and in the short term is associated with an 80% cure rate. The objective of this study was to demonstrate that long-term disease control could be achieved using this surgical technique. Set in three hospital dermatology departments, 94 patients with CDN affecting the helix and antihelix were contacted by postal questionnaire at least 6 months after surgery. Replies were received from 77; 11 patients had died and six could not be traced. The main outcome measure was the identification of those patients in remission and those with disease recurrence. Sixty-two helix lesions were followed up for a mean of 52 months (range 8-99). There was recurrence in 10 patients (all men; 16%). Twenty antihelix lesions were followed up for a mean of 55 months (range 8-93). There was recurrence in five patients (all women; 25%). In conclusion, this study confirms that only cartilage needs to be excised for the long-term effective treatment of CDN. The only relevant aetiological factor identified was that all except one patient slept on the same side as the CDN. We believe that pressure on the ear during sleep causes CDN. This is most evident on the most protuberant part of the ear.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

The long-term results of cartilage removal alone for the treatment of chondrodermatitis nodularis

Hudson‐Peacock

Cox

Lawrence

1999

British Journal of Dermatology

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“…Similar cases of perichondritis caused by the coif of nuns have also been reported. 5 In conclusion, we report a patient with CDNH caused by pressure of his headwear on the ear cartilage. This is only the second such case reported, to our knowledge.…”

mentioning

confidence: 77%

“…Although it was not possible to identify a predominant and repetitive pattern, dermoscopy might at least be an aid to exclusion, as only a minority of GA lesions exhibited a pattern similar to other GSDs, such as NL or sarcoidosis. 5 In contrast, NL lesions exhibited a characteristic and repetitive pattern (Fig. 2), typified by a prominent network of linear arborizing vessels (37 lesions; 100%) and a yellow background colour, either alone (17; 45.9%), or in combination with white (9; 24.3%) or red (11; 29.7%).…”

mentioning

confidence: 99%

Are these real turban tumours?

Mansouri

Orpin

2013

Clin Exp Dermatol

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“…It is thought to occur secondary to mechanical injury, such as local pressure or trauma (e.g., nun's wimple, excessive mobile telephone use) or environmental damage from cold and chronic sun exposure. [1][2][3] Medical approaches to treatment have included cryotherapy, topical corticosteroids, and intralesional corticosteroids or collagen. Surgical interventions include wedge resection, carbon dioxide laser ablation, curettage, and electrocauterization.…”

mentioning

confidence: 99%