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
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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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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 11 | 8 | 19 |
| 2024 Octubre | 70 | 38 | 108 |
| 2024 Septiembre | 69 | 30 | 99 |
| 2024 Agosto | 89 | 72 | 161 |
| 2024 Julio | 73 | 41 | 114 |
| 2024 Junio | 66 | 44 | 110 |
| 2024 Mayo | 57 | 39 | 96 |
| 2024 Abril | 81 | 31 | 112 |
| 2024 Marzo | 74 | 34 | 108 |
| 2024 Febrero | 69 | 30 | 99 |
| 2024 Enero | 61 | 37 | 98 |
| 2023 Diciembre | 65 | 18 | 83 |
| 2023 Noviembre | 79 | 28 | 107 |
| 2023 Octubre | 83 | 26 | 109 |
| 2023 Septiembre | 88 | 33 | 121 |
| 2023 Agosto | 52 | 20 | 72 |
| 2023 Julio | 42 | 42 | 84 |
| 2023 Junio | 68 | 32 | 100 |
| 2023 Mayo | 62 | 25 | 87 |
| 2023 Abril | 54 | 25 | 79 |
| 2023 Marzo | 67 | 46 | 113 |
| 2023 Febrero | 35 | 30 | 65 |
| 2023 Enero | 39 | 28 | 67 |
| 2022 Diciembre | 58 | 44 | 102 |
| 2022 Noviembre | 26 | 27 | 53 |
| 2022 Octubre | 23 | 15 | 38 |
| 2022 Septiembre | 27 | 38 | 65 |
| 2022 Agosto | 20 | 38 | 58 |
| 2022 Julio | 27 | 27 | 54 |
| 2022 Junio | 31 | 27 | 58 |
| 2022 Mayo | 51 | 31 | 82 |
| 2022 Abril | 65 | 33 | 98 |
| 2022 Marzo | 54 | 61 | 115 |
| 2022 Febrero | 48 | 34 | 82 |
| 2022 Enero | 50 | 46 | 96 |
| 2021 Diciembre | 52 | 47 | 99 |
| 2021 Noviembre | 49 | 43 | 92 |
| 2021 Octubre | 57 | 59 | 116 |
| 2021 Septiembre | 51 | 43 | 94 |
| 2021 Agosto | 38 | 41 | 79 |
| 2021 Julio | 28 | 49 | 77 |
| 2021 Junio | 50 | 33 | 83 |
| 2021 Mayo | 39 | 23 | 62 |
| 2021 Abril | 54 | 28 | 82 |
| 2021 Marzo | 55 | 25 | 80 |
| 2021 Febrero | 80 | 25 | 105 |
| 2021 Enero | 46 | 21 | 67 |
| 2020 Diciembre | 44 | 18 | 62 |
| 2020 Noviembre | 40 | 22 | 62 |
| 2020 Octubre | 20 | 19 | 39 |
| 2020 Septiembre | 44 | 15 | 59 |
| 2020 Agosto | 34 | 20 | 54 |
| 2020 Julio | 21 | 14 | 35 |
| 2020 Junio | 47 | 35 | 82 |
| 2020 Mayo | 24 | 17 | 41 |
| 2020 Abril | 31 | 21 | 52 |
| 2020 Marzo | 31 | 18 | 49 |
| 2020 Febrero | 5 | 3 | 8 |
| 2020 Enero | 4 | 1 | 5 |
| 2019 Diciembre | 8 | 4 | 12 |
| 2019 Noviembre | 4 | 4 | 8 |
| 2019 Octubre | 0 | 6 | 6 |
| 2019 Septiembre | 4 | 4 | 8 |
| 2019 Agosto | 4 | 4 | 8 |
| 2019 Julio | 4 | 8 | 12 |
| 2019 Junio | 4 | 23 | 27 |
| 2019 Mayo | 8 | 24 | 32 |
| 2019 Abril | 2 | 16 | 18 |
| 2019 Marzo | 7 | 3 | 10 |
| 2019 Febrero | 5 | 4 | 9 |
| 2019 Enero | 2 | 1 | 3 |
| 2018 Diciembre | 3 | 7 | 10 |
| 2018 Noviembre | 2 | 0 | 2 |
| 2018 Octubre | 5 | 0 | 5 |
| 2018 Septiembre | 5 | 0 | 5 |
| 2018 Junio | 0 | 1 | 1 |
| 2018 Mayo | 0 | 5 | 5 |
| 2018 Abril | 1 | 1 | 2 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 66 | 5 | 71 |
| 2018 Enero | 26 | 5 | 31 |
| 2017 Diciembre | 69 | 13 | 82 |
| 2017 Noviembre | 20 | 6 | 26 |
| 2017 Octubre | 26 | 9 | 35 |
| 2017 Septiembre | 24 | 14 | 38 |
| 2017 Agosto | 35 | 7 | 42 |
| 2017 Julio | 18 | 9 | 27 |
| 2017 Junio | 25 | 21 | 46 |
| 2017 Mayo | 24 | 13 | 37 |
| 2017 Abril | 29 | 21 | 50 |
| 2017 Marzo | 7 | 39 | 46 |
| 2017 Febrero | 21 | 10 | 31 |
| 2017 Enero | 15 | 4 | 19 |
| 2016 Diciembre | 22 | 11 | 33 |
| 2016 Noviembre | 33 | 14 | 47 |
| 2016 Octubre | 14 | 22 | 36 |
| 2016 Septiembre | 0 | 5 | 5 |
| 2016 Agosto | 0 | 3 | 3 |
| 2016 Julio | 0 | 6 | 6 |
| 2016 Junio | 5 | 6 | 11 |
| 2016 Mayo | 0 | 1 | 1 |
| 2016 Abril | 4 | 10 | 14 |
| 2016 Febrero | 0 | 3 | 3 |
| 2015 Diciembre | 0 | 2 | 2 |
| 2015 Noviembre | 0 | 1 | 1 |
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