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The lesions frequently present with exquisite tenderness that interferes with sleep. While the cause of this dermal inflammatory process is not known, long term trauma or sun damage may play a role. Recurrences often complicate treatment if all sites of inflammation are not eradicated.
Surgical treatment is generally recommended, either by wide excision or by deep shave and treatment of the underlying cartilage. Winkler’s disease usually presents as 3 to 10 mm nodule in the helix or anti helix. We are reporting an unusual presentation of Winkler’s disease as a large nodular mass arising from the tragus, nearly occluding the external auditory canal (size about 1.5x2.0 cms).
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