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What is Chondrodermatitis Nodularis Chronica Helicis?
Chondrodermatitis Nodularis Chronica Helicis is quite a usual inflammatory upset which affects the external part of the ear , medically termed as pinna . It is the genus Helix and antihelix which are the part of the pinna that gets affected due to Chondrodermatitis Nodularis Chronica Helicis . This condition is check more in Male above the historic period of 40 or in the elderly population . However , there are cases where females have also been affected with Chondrodermatitis Nodularis Chronica Helicis . In a bailiwick lead way back in 2006 , out of 70 patients care for for this stipulation , 70 % were males and the 16 % were females[1 ] .
There have been also cases of Chondrodermatitis Nodularis Chronica Helicis seen in infants and child .
What Causes Chondrodermatitis Nodularis Chronica Helicis?
What just causes this circumstance is not only clean-cut and is still being researched . However , some researchers are of the feeling that it may be caused due to excessive pressure being out on the external capitulum . The complex structure of the ear also makes it vulnerable to condition like Chondrodermatitis Nodularis Chronica Helicis[1 ] .
Among the various causes which put pressure on the extraneous capitulum , it is slumber on the affected ear which is believed to be the primary reason . to boot , trauma or injury to the external capitulum can also result in the maturation of Chondrodermatitis Nodularis Chronica Helicis . Some masses with autoimmune disorders also have Chondrodermatitis Nodularis Chronica Helicis and this is believed to be due to microvascular injury[1 ] .
Chondrodermatitis Nodularis Chronica Helicis can be super painful and discomforting , particularly in children and thus requires prompt treatment.[1 ]
What Are The Presenting Features Of Chondrodermatitis Nodularis Chronica Helicis?
The primary presenting feature of a Chondrodermatitis Nodularis Chronica Helicis is a raised terrible nodule on the auricle cartilage . The size of it of the tubercle grows as the condition progress . The centre of the nodule will be filled with fluid which at sentence will ooze . Once the nodule dries off then the fluid present in it may result in formation of a scab . The nodule will be highly sore to bear upon and just a tripping touch may get prick pain in the ear[2 ] .
picture to cold temperatures also cause the tubercle to become irritated and cause pain . If an person tries to pick or burst the nodule then it will only complicate the take . On average , a nodule triggered by Chondrodermatitis Nodularis Chronica Helicis can last anywhere from months to old age . This tubercle in majority of the cases is caused when log Z’s on one side . This is because of gap of blood stream in the affected area[2 ] .
There is no evidence to advise that nodule due to Chondrodermatitis Nodularis Chronica Helicis is link to tegument Crab and this shape is not inherit . It usually appears after a trauma such as being dispatch on the ear damaging the cartilage . Prolonged use of earphone and telephones also at times increases the chances of developing Chondrodermatitis Nodularis Chronica Helicis[2 ] .
Autoimmune systemic illness is also a basal reason for Chondrodermatitis Nodularis Chronica Helicis .
How is Chondrodermatitis Nodularis Chronica Helicis Treated?
Coming to treatments of Chondrodermatitis Nodularis Chronica Helicis , it can be done by following sure home remedies or in some suit using some medicament . The self - treatment strategy used for treating Chondrodermatitis Nodularis Chronica Helicis include not sleeping on the unnatural side so that pressure is not put on that ear[2 ] .
The affected individual can also use a sonant pillow to decrease pressure on the insensible ear . wear thin auricle protector to forbid any injuries to the external ear especially when in uttermost heat or cold . It is also helpful to wear out a scarf joint or a hat tear gloomy and covers the auricle to prevent it from getting damage . It is also beneficial to not conjure thephonetoo tightly to the pinna . Sometimes , apply Vaseline or other form ofpetroleum jellyto the affected auricle on the nodule is also beneficial for discourse of Chondrodermatitis Nodularis Chronica Helicis[2 ] .
If these measures are not effective , then a consultation with a physician will be required for handling of the precondition . This is particularly when the condition importantly affect the quality of spirit of the affected role . This can be done with medicinal drug and surgery . If the tubercle gets infected then the affected role will be givenantibioticsto make the infection . This will be followed by administration of steroids to reduce the inflaming and erythema[2 ] .
In some slip , a steroid injection may be now given to the nodule . Sometimes , physicians come in collagen to the pinna to increase protection to the sensitive cartilage around the international ear . In some cases , physicians freeze the nodule by liquified N for expedited healing of the experimental condition . In stern cases where the patient is experiencing significant difficulty and poor quality of aliveness due to Chondrodermatitis Nodularis Chronica Helicis then the physician may recur to administration of nitroglycerin[2 ] .
Some experts consider that using a nitro patch can importantly better the blood circulation in the ear . This lead in the nodule to become diminished with time . However , this medication comes with a side effect profile ofheadaches , decreasedblood pressureandfacial even . In rare example , some physicians apply optical maser beams to put down the nodule and treat the condition[2 ] .
Until about a decennary ago , surgical operation was the frontline handling for Chondrodermatitis Nodularis Chronica Helicis . However , with more enquiry on this topic led everyone to believe that conservative measures are as effective as operative treatment for Chondrodermatitis Nodularis Chronica Helicis . However , operating theatre is still necessitate in extreme cases of this condition when conservative measures are not efficacious in leave substitute to the patient[2 ] .
The surgery will imply remotion of the nodule and place the tissue paper for biopsy . This is done under local anaesthesia . Despite removal of the tubercle surgically , there is still a chance of the condition recurring . Studies estimate around 38 % hazard of the tubercle repeat even after operative remotion . This usually pass when the surgeon is ineffectual to remove the nodule totally when performing surgery[2 ] .
In determination , Chondrodermatitis Nodularis Chronica Helicis is quite a painful condition even though the rigourousness of the pain may be variable and disagree from individual to individual . Home redress usually are quite good in not only provide succour from the symptoms but also diminish the size of the nodule . However , Chondrodermatitis Nodularis Chronica Helicis is in no way cancerous and does not spread from mortal to person[1 , 2 ] .
It is a treatable condition with the overall prognosis being extremely good berth treatment . There is a chance of the tubercle recur even after surgical remotion but this usually happens in less than 40 % of sheath . In other cases , medications and other operation like freeze of the tubercle with liquid nitrogen are quite in force in treating Chondrodermatitis Nodularis Chronica Helicis . Surgery is reserved as a last resort for treating this condition[1 , 2 ] .
This is done when other materialistic mensuration are deemed uneffective in ply relief . While perform the procedure , a biopsy will be conducted of the tubercle as well . In event if the condition is left untreated , the nodule may get infected causing more severe discomfort to the patient role . Thus , it is all important for mass with Chondrodermatitis Nodularis Chronica Helicis to get evaluated and cover to foreclose any unwarranted complications[2 ] .
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