Difference between revisions of "Non-malignant skin disease"

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Non-malignant skin disease (view source)

Revision as of 23:12, 16 February 2014

1,704 bytes removed ,  23:12, 16 February 2014
→‎Chondrodermatitis nodularis chronica helicis: split out
(→‎Angiofibroma: split out)
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*Abbreviated ''CNCH''.
*Abbreviated ''CNCH''.
*[[AKA]] ''Winkler disease''.<ref>URL: [http://www.head-face-med.com/content/4/1/2 http://www.head-face-med.com/content/4/1/2]. Accessed on: 16 January 2014.</ref>
*[[AKA]] ''Winkler disease''.<ref>URL: [http://www.head-face-med.com/content/4/1/2 http://www.head-face-med.com/content/4/1/2]. Accessed on: 16 January 2014.</ref>
===General===
{{Main|Chondrodermatitis nodularis chronica helicis}}
*Tender/painful - '''key clinical feature'''.
*Typically right [[ear]] - people more often sleep on this one.<ref name=pmid17879469>{{Cite journal  | last1 = Devani | first1 = A. | last2 = Barankin | first2 = B. | title = Dermacase. Chondrodermatitis nodularis chronica helicis. | journal = Can Fam Physician | volume = 53 | issue = 5 | pages = 821, 837 | month = May | year = 2007 | doi =  | PMID = 17879469 }}</ref>
*Usually >40 years old.
 
Etiology:
*Trauma/mechanical.
 
===Gross===
*[[Papule]] on ear.
*+/-Erythematous.
*+/-Crust.
 
Clinical DDx:<ref name=pmid17879469/>
*[[BCC]].
*[[SCC]].
 
Images:
*[http://commons.wikimedia.org/wiki/File:Chondrodermatitis.jpg CNCH (WC)].
*[http://www.dermnetnz.org/lesions/chondrodermatitis.html CNCH (dermnetnz.org)].
 
===Microscopic===
Features:<ref name=pmid17879469/>
*Dermal inflammation.
*Epithelial hyperlasia.
*Fibrosis.
*Cartilaginous pathology:
**Perichondrial inflammation  - '''key feature'''.
**Perichondrial disruption.
**+/-Necrosis.
**+/-Hemorrhage.
 
Images:
*[http://www.dermpedia.org/case/chondrodermatitis-nodularis-chronica-helicis CNCH (dermpedia.org)].
*[http://www.surgicalpathologyatlas.com/glfusion/mediagallery/media.php?s=20080802171837514 CNCH (surgicalpathologyatlas.com)].
*[http://dermatlas.med.jhmi.edu/derm/indexDisplay.cfm?ImageID=2140701395 CNCH (dermatlas.med.jhmi.edu)].
 
===Sign out===
====Superficial biopsy====
<pre>
SKIN LESION, LEFT ANTIHELIX OF EAR, BIOPSY:
- SUPERFICIAL SKIN WITH ACANTHOSIS, HYPERKERATOSIS, MODERATE SOLAR ELASTOSIS,
  HYPERGRANULOSIS AND A MILD LYMPHOCYTIC PERIVASCULAR INFILTRATE.
- NO CARTILAGE IS IDENTIFIED.
- NEGATIVE FOR DYSPLASIA AND MALIGNANCY.
 
COMMENT:
The findings are non-specific. Chondrodermatitis cannot be excluded.
</pre>


==Cutaneous calcinosis==
==Cutaneous calcinosis==
Michael
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