Primary Care Dermatology Society
The leading primary care society for dermatology and skin surgery

Weathering nodules

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Latest update 08/02/2011


This chapter is set out as follows:


Aetiology

  • While the pathogenesis of weathering nodules remains unclear, there is an association with age and outdoor occupations / hobbies leading to ‘weathering’ of the ear either through chronic UV exposure and/or cold damage

History

  • More common in elderly men
  • Lesions tend to be asymptomatic as opposed to lesions of chondrodermatitis nodularis helicis, which cause significant discomfort when laid on at night

Clinical findings

  • Often bilateral
  • White or skin-coloured nodules measuring 2-3 mm in diameter running along the rim of the ear producing a scalloped appearance of the helix

Management

  • Patients can be reassured and given advice on UV protection
  • No treatment is required
Vitiligo Figure 1 - Weathering nodules

Scalloped appearance
Vitiligo

Figure 2 - Close up of figure 1