Continuous positive airway pressure device–associated nonhealing ulcer on the nasal dorsum: chondrodermatitis nodularis nasi

Reinhart, Jacob P; Isaq, Nasro A; Peters, Margot S.; Vidal, Nahid Y.

doi:10.5664/jcsm.10518

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…The pressure-induced changes of skin overlying the cartilage can also occur in other sites of the body besides the ear. For example, two cases of chondrodermatitis nodularis were described to affect the skin overlying the nose, termed chondrodermatitis nodularis nasi 6 7. There was a report of a Caucasian man who presented with a painful, ulcerated papule on his nose thought to be chondrodermatitis nodularis associated with years of bilevel positive airway pressure (BiPAP) mask use 6.…”

Section: Discussionmentioning

confidence: 99%

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New tender, bleeding papule on the left ear

Beagles,

Shih

2024

BMJ Case Rep

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Chondrodermatitis nodularis helicis (CNH) is a painful, inflammatory condition that impacts the skin of the ear. It is commonly associated with pressure on the pinna causing a nodule that may have erythema, bleeding and exudate. We present a case of a woman in her 60s with a history of basal cell carcinoma who presented with a new tender spot on the antihelix of her left ear. The tenderness of the new spot forced her to switch from holding her phone to her left ear to using her right ear. A shave biopsy confirmed CNH and ruled out non-melanoma skin cancer. Although most prior cases report association with sleeping on the side of the affected ear, this case was attributed to cell phone use. It is important to remember that non-traditional sources of pressure can also lead to CNH.

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Section: Discussionmentioning

confidence: 99%

“…Another recent case suggested that a non-healing ulcer on the nasal bridge was associated with the use of a continuous positive airway pressure (CPAP) device. 7 The local ischaemia associated with pressure can lead to chondrodermatitis nodularis anywhere that there is skin overlying the cartilage, including areas beyond the ear.…”

Section: Discussionmentioning

confidence: 99%