CNH, or Chondrodermatitis Nodularis Helicis, is a tender pressure sore on the ear.
Pressure sores on the ear typically occur in persons who sleep primarily on one side (either by habit or because of shoulder, neck, or arm pain).
Pressure sores usually occur on the most prominent parts of the ear - the rim of the helix or the antihelix.
In the earliest stage, CNH may simply be a small, tender, red area. Later stages of pressure sores on the ear appear as tender, red, warty papules, small punched-out ulcers, or even deep ulcerations extending to the cartilage.
Pressure sores on the ear are most common in the elderly, and those with sun-damaged skin.
Surgical removal is sometimes used, but CNH may recur if the patient continues to lie on the ear.