A painful keratotic papule facing the pillow.

CHONDRODERMATITIS NODULARIS HELICIS

Chondrodermatitis nodularis helicis (CNCH) is a painful nodule on the ear of an adult representing inflammation of the cartilage after prolonged (usually night-time) pressure.

A painful, hyperkeratotic papule on the ear most often just inferior to Darwin's tubercle in an older man, is characteristic. These lesions may also occur on the antihelix. Habits which exert prolonged pressure on the ear (e.g. sleeping on that side, head phones) help trigger the condition. But it is usually sleeping on that side that does it.

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