Infantile Chondrodermatitis Nodularis

Abstract

Psoriasis following KD is rarely reported worldwide. A review of the relevant literature found 12 instances of psoriasis following KD (1,4,6). Eberhard et al (6) reported two patients with guttate psoriasis, three who developed the pustular form and seven who had typical psoriasiform lesions. In all patients, psoriasis resolved after several months. None of them developed chronic plaque psoriasis. Our patient's clinical and histopathologic findings of thick scaly plaques and marked elongated rete ridges favored chronic plaque psoriasis, except for the short duration of 1 month. We suggest the possibility of induction of chronic plaque psoriasis following KD, mediated by the common pathogenic roles of superantigens. Further follow-up of our patient to determine whether he will develop chronic plaque psoriasis is required.

Therapeutic Options of Chondrodermatitis Nodularis Helicis

“…CNH most commonly presents in patients over 40, although there have been isolated reports of children also affected [ 43 – 45 ]. Excluding all case reports and including only studies where a mean age is reported, 21 studies reported a mean age from 43 to 76 years.…”

“…Many techniques have been described and most agree that a simple approach, with primary excision and meticulous trimming of the cartilage, is the preferred method [ 8 , 11 , 22 , 24 , 26 , 32 – 35 , 39 , 43 , 50 ].…”