Translational Biomedicine

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An unusual case of Winkler's disease of Pinna

Nagaraj B.T , Ravi G.C , Somasundar Reddy

Chondrodermatitis nodularis chronica helicis is a painful nodule of the external ear.These uncommon lesions are most often encountered on the helix in white menolder than 40 years, although they also rarely occur on the antihelix in women.The lesions frequently present with exquisite tenderness that interferes with sleep.While the cause of this dermal inflammatory process is not known, long-termtrauma or sun damage may play a role. Recurrences often complicate treatment ifall sites of inflammation are not eradicated. Surgical treatment is generally recommended,either by wide excision or by deep shave and treatment of the underlyingcartilage. Winkler’s disease usually presents as 3 to 10 mm nodule in the helix oranti helix. We are reporting an unusual presentation of Winkler’s disease as a largenodular mass arising from the tragus, nearly occluding modvigil the external auditory canal(size about 1.5x2.0 cms).