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Chondrodermatitis Nodularis Chronica Helicis

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  • First Online:
Head and Neck Pathology

Part of the book series: Encyclopedia of Pathology ((EP))

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Synonyms

Chondrodermatitis nodular helicis; CNCH; Winkler’s disease

Definition

Chondrodermatitis nodularis chronica helicis (CNCH) is an idiopathic non-neoplastic inflammatory and degenerative process of the external ear characterized by necrobiotic changes in the dermis which extend down to the perichondrium, with associated alterations of the cartilaginous plate.

Etiology is not well established. According to original description by Winkler from 1915, there was an association to frostbite. This opinion, still held by many, is not supported by recent publications. It seems most likely that CNCH is related to diminished/poor blood supply at the periphery of the auricle. The lack of a thick, cushioning, subcutaneous layer in the auricle may predispose the underlying cartilage to pressure-induced ischemia and damage. Nowadays, the etiology of dermal injury is thought to be multifactorial, caused by a combination of minor local trauma, actinic damage, and the relatively slender tenuous...

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References and Further Reading

  • Cribier, B., Scrivener, Y., & Peltre, B. (2006). Neural hyperplasia in chondrodermatitis nodularis chronica helicis. Journal of the American Academy of Dermatology, 55(5), 844–848.

    Article  PubMed  Google Scholar 

  • Kaur, R. R., Lee, A. D., & Feldman, S. R. (2010). Bilateral chondrodermatitis nodularis chronica helicis on the antihelix in an elderly woman. International Journal of Dermatology, 49, 472–474.

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  • Upile, T., Patel, N. N., Jerjes, W., Singh, N. U., Sandison, A., & Michaels, L. (2009). Advances in the understanding of chondrodermatitis nodularis chronica helices: The perichondrial vasculitis theory. Clinical Otolaryngology, 34(2), 147–150.

    Article  CAS  PubMed  Google Scholar 

  • Wenig, B. M. (2009). Diseases of the external ear, middle ear, and temporal bone. In B. Leon (Ed.), Surgical pathology of the head and neck (3rd ed., Vol. 1, pp. 423–474). New York: Informa Healthcare.

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  • Winkler, M. (1915). Knotchenformige erkrankung am helix (Chondrodermatitis nodularis chronica helicis). Archives of Dermatology and Syphilology, 212, 126–144.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Institute of Pathology, Faculty of Medicine, University of Ljubljana, Korytkova 2, SI-1000, Ljubljana, Slovenia

    Metka Volavšek

Authors
  1. Metka Volavšek
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Correspondence to Metka Volavšek .

Editor information

Editors and Affiliations

  1. Faculty of Medicine, Institute of Pathology, University of Ljubljana, Ljubljana, Slovenia

    Metka Volavšek

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© 2016 Springer International Publishing Switzerland

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Volavšek, M. (2016). Chondrodermatitis Nodularis Chronica Helicis. In: Volavšek, M. (eds) Head and Neck Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28618-1_1712

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  • DOI: https://doi.org/10.1007/978-3-319-28618-1_1712

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28617-4

  • Online ISBN: 978-3-319-28618-1

  • eBook Packages: MedicineReference Module Medicine

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