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Winter 2018, Vol. 26 No. 4

Hong Kong J. Dermatol. Venereol. (2018) 26, 175-179


Review Article

Chondrodermatitis of the ear: the painful truth

耳朵軟骨皮膚炎：痛苦之堅

C Zilberg and S Lee 李啟焱

Abstract
Background: Chondrodermatitis nodularis chronica helicis (CDH) is an inflammatory disease of the ear, typically occurring in, but not limited to, middle-aged and elderly men. Untreated disease is painful, disfiguring and sleep-depriving. Misdiagnosis and suboptimal treatment are common. Objectives: To raise awareness of this disease and provide an overview of treatment modalities. Discussion: Clinical presentation is specific for a painful lesion on the side a patient sleeps on. Cutaneous malignancies often occur on the ear - we stress the importance of excluding malignancy. Inappropriate management leads to recurrence or disfigurement. Conclusion: This is a treatable disease. Biopsy is required if there is any doubt in diagnosis.

背景：慢性耳輪結節性軟骨皮膚炎是一種耳部炎症性疾病，不限於但通常發生在中年和老年男性身上。未經治療時會有痛楚，難以入睡，並有礙觀贍。誤診和治療不足非常普遍。目標：提高對這疾病的認識，並概述治療方式。討論：臨床表現特定於疼痛的病變在患者睡姿的一側。另皮膚惡性腫瘤常發生在耳朵上，故我們強調需排除惡性腫瘤的重要性。不恰當的治理會導致再次發病或外觀受損。結論：這是一種可以治療的疾病。如果對診斷有任何疑問時，需進行活組織檢查。

Keywords: Chondrodermatitis nodularis chronica helicis, cutaneous squamous cell carcinoma, basal cell carcinoma, ear nodules

關鍵詞: 慢性耳輪結節性軟骨皮膚炎，皮膚鱗狀細胞癌，基底細胞癌，耳結節