Öz
Chondrodermatitis nodularis helicis Winkler’s Disease is an inflammatory, degenerative disease. It commonly affects the helix on white men over 50 years of age. While the etiology remains unknown, microvascular insufficiency is thought to contribute its occurrence. This non neoplastic lesion has high recurrence rate. Various methods have been used in the past. Surgery is recommended for treatment with reduced recurrence rate nowadays. Many of the physicians are not familiar with its clinical progression, treatment modes. 39 years old man with a tender ear lesion is presented in this article. Chondodermatitis nodularis helicis is reviewed with clinical findings, pathogenesis, and treatment methods
Anahtar Kelimeler
Kaynakça
- Winkler M. Chondrodermatitis nodularis chronica helicis. Arch Dermatol Syphilol 1915;121:278
- Hurwitz RM. Infl ammatory reactions of the folliculosebaceous unit. In: Farmer ER, Hood AF, eds. Pathology of the skin. New York: McGraw-Hill, 2000.
- Santa Cruz DJ. Chodrodermatitis nodularis helicis: a transepidermal perforating disorder. J Cutan Pathol 1980;7: 70-6.
- Avitia S, Hamilton JS, Osborne RF. Chondrodermatitis nodularis chronica helicis. Ear Nose Throat J 2005; 84: 406–7.
- Trompson LD. Chondrodermatitis nodularis helicis Ear Nose Throat J 2007; 86:734–5.
- Elgart ML. Cell phone chondrodermatitis. Arch Dermatol 2000; 136: 1568.
- Chan HP, Neuhauns IM, Maibach HI. Chondrodermatitis nodularis chronica helicis in monozygotic twins. Clinical Exp Dermatol 2008; 34: 358-9.
- Moncrieff M, Sassoon EM. Eff ective treatment of chondrodermatitis nodularis chronica helicis using a conservative approach. Br J Dermatol 2004; 150:892-4
- Munnoch DA, Herbert KJ, Morris AM. Chondrodermatitis nodularis chronica helicis et antihelicis. Br J Plast Surg 1996; 49: 473-6.
- Cox NH, Denham PF. Intralesional triamcinolone for chondrodermatitis nodularis helicis: a follow-up of 60 patients. Br J Dermatol 2002;146:712-3.
- Kromann N, Hoyer H, Reymann F. Chondrodermatitis nodularis chronica helicis treated with curettage and electrocauterization: follow-up of a 15- year material. Acta Derm Venereol. 1983; 63: 85-7.
- Arıcan O, Piksin S, Onver N et al. Kondrodermatitis nodülaris heisis kronika. Turkiye Klinikleri J Med Sci 2010; 30:2074-6.
- Taylor MB. Chondrodermatitis nodularis chronica helicis successful treatment with the carbon dioxide laser. J Dermatol Surg Oncol. 1991; 17: 862-4.
- Lawrence CL: The treatment of chondrodermatitis nodularis with cartilage removal alone. Arch Dermatol 1991; 127:530-5.
- Hudson-Peacock M.J, Cox N.H. & Lawrence C.M. The long-term results of cartilage removal alone for the treatmen of chondrodermatitis nodularis. Br. J. Dermatol. 1999; 141:703–5.
- Rajan N, Langtry JAA. The punch and graft technique: a novel method of surgical treatment for chondrodermatitis nodularis helicis. Br J Dermatol 2007;157:744-7.
Öz
Kondrodermatitis nodülaris helisis Winkler Hastalığı , inflamatuar dejeneratif bir hastalıktır. Özellikle 50 yaş üzeri beyaz erkeklerde, heliks yerleşimli olarak görülür. Etiyolojisi kesin bilinmemekle birlikte oluşumunda mikrovasküler yetersizlik suçlanmaktadır. Neoplastik olmayan bu lezyon yüksek tekrarlama oranına sahiptir. Tedavide geçmişte çok çeşitli yöntemler kullanılmıştır. Günümüzde tekrar oranını azaltan cerrahi tedavi önerilmektedir. Birçok klinisyen bu hastalığın klinik seyri, tedavisi hakkında yeterli bilgiye sahip değildir. Bu makalede ağrılı kulak lezyonu olan 39 yaşında erkek hasta sunulmuştur. Kondrodermatitis nodülaris helisis klinik bulguları, patogenezi, tedavi seçenekleri ile tekrar gözden geçirilmiştir
Anahtar Kelimeler
Kaynakça
- Winkler M. Chondrodermatitis nodularis chronica helicis. Arch Dermatol Syphilol 1915;121:278
- Hurwitz RM. Infl ammatory reactions of the folliculosebaceous unit. In: Farmer ER, Hood AF, eds. Pathology of the skin. New York: McGraw-Hill, 2000.
- Santa Cruz DJ. Chodrodermatitis nodularis helicis: a transepidermal perforating disorder. J Cutan Pathol 1980;7: 70-6.
- Avitia S, Hamilton JS, Osborne RF. Chondrodermatitis nodularis chronica helicis. Ear Nose Throat J 2005; 84: 406–7.
- Trompson LD. Chondrodermatitis nodularis helicis Ear Nose Throat J 2007; 86:734–5.
- Elgart ML. Cell phone chondrodermatitis. Arch Dermatol 2000; 136: 1568.
- Chan HP, Neuhauns IM, Maibach HI. Chondrodermatitis nodularis chronica helicis in monozygotic twins. Clinical Exp Dermatol 2008; 34: 358-9.
- Moncrieff M, Sassoon EM. Eff ective treatment of chondrodermatitis nodularis chronica helicis using a conservative approach. Br J Dermatol 2004; 150:892-4
- Munnoch DA, Herbert KJ, Morris AM. Chondrodermatitis nodularis chronica helicis et antihelicis. Br J Plast Surg 1996; 49: 473-6.
- Cox NH, Denham PF. Intralesional triamcinolone for chondrodermatitis nodularis helicis: a follow-up of 60 patients. Br J Dermatol 2002;146:712-3.
- Kromann N, Hoyer H, Reymann F. Chondrodermatitis nodularis chronica helicis treated with curettage and electrocauterization: follow-up of a 15- year material. Acta Derm Venereol. 1983; 63: 85-7.
- Arıcan O, Piksin S, Onver N et al. Kondrodermatitis nodülaris heisis kronika. Turkiye Klinikleri J Med Sci 2010; 30:2074-6.
- Taylor MB. Chondrodermatitis nodularis chronica helicis successful treatment with the carbon dioxide laser. J Dermatol Surg Oncol. 1991; 17: 862-4.
- Lawrence CL: The treatment of chondrodermatitis nodularis with cartilage removal alone. Arch Dermatol 1991; 127:530-5.
- Hudson-Peacock M.J, Cox N.H. & Lawrence C.M. The long-term results of cartilage removal alone for the treatmen of chondrodermatitis nodularis. Br. J. Dermatol. 1999; 141:703–5.
- Rajan N, Langtry JAA. The punch and graft technique: a novel method of surgical treatment for chondrodermatitis nodularis helicis. Br J Dermatol 2007;157:744-7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2011 |
| Yayımlandığı Sayı | Yıl 2011Sayı: 3 |