Chondrodermatitis Nodularis Helicis

Condition

An inflammatory condition affecting the skin and cartilage of the ear. Typically affects fair-skinned, middle-aged males. Presents as a painful nodule on the helix or antihelix, commonly on the side the patient sleeps on.

Examination

A solitary, firm, oval nodule with a central crust and surrounding erythema.

Investigations and management

Exclude BCC/SCC first — refer for biopsy by an experienced clinician if there is any diagnostic doubt. Treatment options include surgical excision, intralesional steroid injection, or hyaluronic acid injection.