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  • Title: Effective treatment of chondrodermatitis nodularis chronica helicis using a conservative approach.
    Author: Moncrieff M, Sassoon EM.
    Journal: Br J Dermatol; 2004 May; 150(5):892-4. PubMed ID: 15149500.
    Abstract:
    BACKGROUND: Chondrodermatitis nodularis chronica helicis (CNCH) is usually treated by surgical excision, but is prone to recurrence. OBJECTIVES: To examine whether CNCH could be treated nonsurgically using a home-made, pressure-relieving prosthesis. METHODS: A retrospective comparison was made of the outcome in 41 subjects treated surgically and 15 treated nonsurgically between 1999 and 2001. RESULTS: Thirteen of the 15 patients (87%) treated nonsurgically were healed at follow-up after 1 month of conservative treatment and so have avoided surgery to date. In contrast, the recurrence rate of the surgically treated group was 14 of 41 (34%) patients. CONCLUSIONS: As a result of this study, we recommend that patients presenting with CNCH be managed conservatively in the first instance.
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