Chondrodermatitis Nodularis Chronica Helicis

1958; American Medical Association; Volume: 78; Issue: 1 Linguagem: Inglês

10.1001/archderm.1958.01560070045007

ISSN

2375-6772

Autores

Murray C. Zimmerman,

Tópico(s)

Skin and Cellular Biology Research

Resumo

Since the description of "painful nodule of the ear," by Foerster, 1 and "chondrodermatitis nodularis chronica helicis," by Winkler, 2 a multitude of treatments for this disease have been recommended. These include x-ray, radium, cryocautery, galvanocautery, fulguration and curettage, multiple injections of the area with procaine, 3 injections with hydrocortisone, 4 and, almost universally, surgical excision as the treatment of choice. These treatments have in common one or more of the following drawbacks: High incidence of recurrence after treatment Recurrences in 88% (14 of 16) of patients treated by x-ray, radium, CO 2 snow, fulguration, and caustics 5 Recurrences in 18% (15 out of 84) of cases treated by excision, cured with second excision 5 Recurrences in 31% (18 out of 58) cases treated by "wide surgical excision," 3 retreated with second, third, and fourth excision Multiple therapeutic procedures needed Permanent

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