Letters to the Editor

In Reply: Chondrodermatitis nodularis helicis

Maggie So, MD, FACP and Randall S. Edson, MD, MACP, FIDSA
Cleveland Clinic Journal of Medicine June 2023, 90 (6) 333; DOI: https://doi.org/10.3949/ccjm.90c.06002

In Reply: We thank Dr. Zhang and colleagues for their interest in our article and for their excellent queries. Although granuloma annulare can involve the external ear, it typically occurs on the antihelix, as noted in the excellent article published by Zhang et al.1 The favorable response of relieving pressure to the external ear by sleeping on the unaffected side was more consistent with CNH. The patient described in our article had no evidence for any of the systemic inflammatory conditions mentioned by Dr. Zhang and colleagues.

REFERENCES

    1. Zhang LW,
    2. Jiang CH,
    3. Wang WJ,
    4. He L,
    5. Chen T
    . Auricular granuloma annulare. Indian J Dermatol Venereol Leprol 2022; 88(6):800–803. doi:10.25259/IJDVL_197_2021