Skin-nontumor / Clinical dermatology
Other dermatoses
Chondrodermatitis nodularis chronica helicis

Author: Mowafak Hamodat, M.D., MB.CH.B, MSc., FRCPC (see Authors page)

Revised: 24 June 2016, last major update July 2011

Copyright: (c) 2002-2016,, Inc.

PubMed Search: Chondrodermatitis nodularis chronica helicis

Cite this page: Chondrodermatitis nodularis chronica helicis. website. Accessed October 21st, 2016.
Definition / General
  • Idiopathic, nonneoplastic ulcerative lesion of auricle
  • Unilateral, painful dome-shaped nodule; may be due to chronic trauma
  • Also called Winkler disease
  • Usually men ages 40+
Clinical Features
  • Dome shaped nodule, 0.3 to 1.8 cm, with crusty scale covering central area of ulceration
Clinical Images

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Chondrodermatitis nodularis

Micro Description
  • Central ulceration of epidermis with adjacent acanthosis, hyperkeratosis, parakeratosis and pseudoepitheliomatous hyperplasia
  • Base of ulcer has granulation tissue that usually involves perichondrium and cartilage
  • May have foci of fibrinoid necrosis
  • Vascular proliferation may resemble a glomus tumor
  • No dermal adnexa at site of lesion
Differential Diagnosis
  • Clinically resembles carcinoma