Case and Research Letters
Cell Phone-Induced Chondrodermatitis Nodularis Antihelicis
Condrodermatitis nodular del antihélix por teléfono móvil
A. Ortiz
, P. Martín, J. Domínguez, J. Conejo-Mir
Corresponding author
Unidad de Gestión Clínica de Dermatología, Hospital Universitario Virgen del Rocío, Seville, Spain
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Ortiz, P. Martín, J. Domínguez, J. Conejo-Mir" "autores" => array:4 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Ortiz" "email" => array:1 [ 0 => "ale.ortizprieto@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Martín" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Domínguez" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Conejo-Mir" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Gestión Clínica de Dermatología, Hospital Universitario Virgen del Rocío, Seville, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Condrodermatitis nodular del antihélix por teléfono móvil" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1221 "Ancho" => 1628 "Tamanyo" => 324909 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ulcerated, erythematous, rounded, nodular lesion with relatively well-defined borders on the antihelix.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Chondrodermatitis nodularis (CN) helicis—or, less frequently, antihelicis—is a painful benign lesion that usually affects patients between 50 and 70 years of age and is more common in men.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> The exact etiology of the process is unknown, although impairment of the vascular supply caused by repeated pressure on the region is the most widely accepted theory.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We report the case of a 54-year-old man who worked as a freight manager—an occupation that entails more than 6<span class="elsevierStyleHsp" style=""></span>hours of mobile telephone use per day—and had no past medical history of interest. The patient had a painful lesion on the left auricle that had appeared nearly 1 year earlier. Physical examination revealed an ulcerated, erythematous, rounded, nodular lesion on the antihelix that was painful to touch and had relatively well-defined borders (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). Histologic findings ruled out malignancy and were consistent with a diagnosis of CN. The patient said that he often held a mobile telephone against the site of the lesion for long periods while working. We therefore opted for a conservative approach and advised the patient to use a hands-free device. Clinical improvement was observed after 3 months. After 1 year of follow-up, complete resolution of the lesion was achieved and no recurrence was observed (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The exact incidence of CN is unknown because the entity is not widely studied.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">2</span></a> Sustained pressure on the auricular region has been postulated as a mechanism of etiology and pathogenesis. Excessive telephone use can cause perichondrial vasculitis, which can lead to the degeneration of the auricular cartilage.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a> The differential diagnosis should include neoplastic and preneoplastic lesions such as basal cell carcinoma, squamous cell carcinoma, and actinic keratoses; histologic examination is sometimes necessary to rule out these possibilities.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a> The most widely used conservative treatments are pressure-relieving devices, topical or intralesional corticosteroids, topical nitroglycerine, and photodynamic therapy, and the efficacy of these techniques is highly variable.<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">5–7</span></a> Narrow elliptical skin excision followed by the shaving of the affected underlying cartilage is among the most widely used surgical techniques and has cure rates of up to 90.4% for lesions on the helix and 62.5% for lesions on the antihelix.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> In the case of our patient, the use of a hands-free device to avoid recurrent trauma in the region was sufficient to cure the lesion.</p><p id="par0020" class="elsevierStylePara elsevierViewall">We have presented a case of CN antihelicis caused by work-related mobile telephone use for many hours a day. Although this etiology is not reported frequently in the literature, physicians should take into account the widespread use of mobile telephones when trying to determine the cause of this dermatosis and prescribe treatment.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ortiz A, Martín P, Domínguez J, Conejo-Mir J. Cell Phone-Induced Chondrodermatitis Nodularis Antihelicis. Actas Dermosifiliogr. 2015;106:675–676.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1221 "Ancho" => 1628 "Tamanyo" => 324909 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ulcerated, erythematous, rounded, nodular lesion with relatively well-defined borders on the antihelix.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1220 "Ancho" => 1628 "Tamanyo" => 312632 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Lesion after skin biopsy.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1668 "Ancho" => 1251 "Tamanyo" => 431174 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Resolved lesion 1 year after the patient started using a hands-free device.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chondrodermatitis nodularis helicis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L.D. 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"fecha" => "2014" "volumen" => "27" "paginaInicial" => "278" "paginaFinal" => "280" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24909052" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0075" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Condrodermatitis <span class="elsevierStyleItalic">nodularis helicis</span> tratada con éxito con nitroglicerina al 2% en gel" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "O. Yélamos" 1 => "J. Dalmau" 2 => "L. Puig" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Actas Dermosifiologr" "fecha" => "2013" "volumen" => "104" "paginaInicial" => "531" "paginaFinal" => "532" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0080" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Narrow elliptical skin excision and cartilage shaving for treatment of chondrodermatitis nodularis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Rex" 1 => "M. Ribera" 2 => "I. Bielsa" 3 => "C. Mangas" 4 => "A. Xifra" 5 => "C. Ferrándiz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1524-4725.2006.32080.x" "Revista" => array:6 [ "tituloSerie" => "Dermatol Surg." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 9 | 8 | 17 |
| 2024 October | 70 | 38 | 108 |
| 2024 September | 69 | 30 | 99 |
| 2024 August | 89 | 72 | 161 |
| 2024 July | 73 | 41 | 114 |
| 2024 June | 66 | 44 | 110 |
| 2024 May | 57 | 39 | 96 |
| 2024 April | 81 | 31 | 112 |
| 2024 March | 74 | 34 | 108 |
| 2024 February | 69 | 30 | 99 |
| 2024 January | 61 | 37 | 98 |
| 2023 December | 65 | 18 | 83 |
| 2023 November | 79 | 28 | 107 |
| 2023 October | 83 | 26 | 109 |
| 2023 September | 88 | 33 | 121 |
| 2023 August | 52 | 20 | 72 |
| 2023 July | 42 | 42 | 84 |
| 2023 June | 68 | 32 | 100 |
| 2023 May | 62 | 25 | 87 |
| 2023 April | 54 | 25 | 79 |
| 2023 March | 67 | 46 | 113 |
| 2023 February | 35 | 30 | 65 |
| 2023 January | 39 | 28 | 67 |
| 2022 December | 58 | 44 | 102 |
| 2022 November | 26 | 27 | 53 |
| 2022 October | 23 | 15 | 38 |
| 2022 September | 27 | 38 | 65 |
| 2022 August | 20 | 38 | 58 |
| 2022 July | 27 | 27 | 54 |
| 2022 June | 31 | 27 | 58 |
| 2022 May | 51 | 31 | 82 |
| 2022 April | 65 | 33 | 98 |
| 2022 March | 54 | 61 | 115 |
| 2022 February | 48 | 34 | 82 |
| 2022 January | 50 | 46 | 96 |
| 2021 December | 52 | 47 | 99 |
| 2021 November | 49 | 43 | 92 |
| 2021 October | 57 | 59 | 116 |
| 2021 September | 51 | 43 | 94 |
| 2021 August | 38 | 41 | 79 |
| 2021 July | 28 | 49 | 77 |
| 2021 June | 50 | 33 | 83 |
| 2021 May | 39 | 23 | 62 |
| 2021 April | 54 | 28 | 82 |
| 2021 March | 55 | 25 | 80 |
| 2021 February | 80 | 25 | 105 |
| 2021 January | 46 | 21 | 67 |
| 2020 December | 44 | 18 | 62 |
| 2020 November | 40 | 22 | 62 |
| 2020 October | 20 | 19 | 39 |
| 2020 September | 44 | 15 | 59 |
| 2020 August | 34 | 20 | 54 |
| 2020 July | 21 | 14 | 35 |
| 2020 June | 47 | 35 | 82 |
| 2020 May | 24 | 17 | 41 |
| 2020 April | 31 | 21 | 52 |
| 2020 March | 31 | 18 | 49 |
| 2020 February | 5 | 3 | 8 |
| 2020 January | 4 | 1 | 5 |
| 2019 December | 8 | 4 | 12 |
| 2019 November | 4 | 4 | 8 |
| 2019 October | 0 | 6 | 6 |
| 2019 September | 4 | 4 | 8 |
| 2019 August | 4 | 4 | 8 |
| 2019 July | 4 | 8 | 12 |
| 2019 June | 4 | 23 | 27 |
| 2019 May | 8 | 24 | 32 |
| 2019 April | 2 | 16 | 18 |
| 2019 March | 7 | 3 | 10 |
| 2019 February | 5 | 4 | 9 |
| 2019 January | 2 | 1 | 3 |
| 2018 December | 3 | 7 | 10 |
| 2018 November | 2 | 0 | 2 |
| 2018 October | 5 | 0 | 5 |
| 2018 September | 5 | 0 | 5 |
| 2018 June | 0 | 1 | 1 |
| 2018 May | 0 | 5 | 5 |
| 2018 April | 1 | 1 | 2 |
| 2018 March | 0 | 1 | 1 |
| 2018 February | 66 | 5 | 71 |
| 2018 January | 26 | 5 | 31 |
| 2017 December | 69 | 13 | 82 |
| 2017 November | 20 | 6 | 26 |
| 2017 October | 26 | 9 | 35 |
| 2017 September | 24 | 14 | 38 |
| 2017 August | 35 | 7 | 42 |
| 2017 July | 18 | 9 | 27 |
| 2017 June | 25 | 21 | 46 |
| 2017 May | 24 | 13 | 37 |
| 2017 April | 29 | 21 | 50 |
| 2017 March | 7 | 39 | 46 |
| 2017 February | 21 | 10 | 31 |
| 2017 January | 15 | 4 | 19 |
| 2016 December | 22 | 11 | 33 |
| 2016 November | 33 | 14 | 47 |
| 2016 October | 14 | 22 | 36 |
| 2016 September | 0 | 5 | 5 |
| 2016 August | 0 | 3 | 3 |
| 2016 July | 0 | 6 | 6 |
| 2016 June | 5 | 6 | 11 |
| 2016 May | 0 | 1 | 1 |
| 2016 April | 4 | 10 | 14 |
| 2016 February | 0 | 3 | 3 |
| 2015 December | 0 | 2 | 2 |
| 2015 November | 0 | 1 | 1 |
Show all
