Petrified Ears: A Clue for Adrenal Insufficiency

Petrified ears is an uncommon clinical entity. It describes auricular cartilage hardening, due usually to ectopic calcification or, less commonly, ossification. The most common causes are frostbite and mechanical trauma. However, endocrinopathies have also been reported to cause ectopic calcium depo...

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Main Authors: Sebastiano Recalcati, Fabrizio Fantini
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Dermatopathology
Subjects:
Online Access:https://www.mdpi.com/2296-3529/8/1/9
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author Sebastiano Recalcati
Fabrizio Fantini
author_facet Sebastiano Recalcati
Fabrizio Fantini
author_sort Sebastiano Recalcati
collection DOAJ
description Petrified ears is an uncommon clinical entity. It describes auricular cartilage hardening, due usually to ectopic calcification or, less commonly, ossification. The most common causes are frostbite and mechanical trauma. However, endocrinopathies have also been reported to cause ectopic calcium deposition through an unknown mechanism. Addison’s disease is the systemic disease most frequently associated, but the exact pathogenesis remains unclear. Patients are usually asymptomatic, and the diagnosis is made incidentally when rigid helices are noted on palpation and can be confirmed by radiological imaging. A biopsy can also help to differentiate between calcification and ossification. The presence of this condition may be a useful clinical sign, which in some cases precedes the development of endocrinopathies by many years. We report on a case, and we review the current literature.
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spelling doaj.art-9c4b62d63f4f432898ed0dffd97e4ba02023-12-03T12:46:57ZengMDPI AGDermatopathology2296-35292021-03-0181454810.3390/dermatopathology8010009Petrified Ears: A Clue for Adrenal InsufficiencySebastiano Recalcati0Fabrizio Fantini1Department of Dermatology, ASST Lecco, Alessandro Manzoni Hospital, 23900 Lecco, ItalyDepartment of Dermatology, ASST Lecco, Alessandro Manzoni Hospital, 23900 Lecco, ItalyPetrified ears is an uncommon clinical entity. It describes auricular cartilage hardening, due usually to ectopic calcification or, less commonly, ossification. The most common causes are frostbite and mechanical trauma. However, endocrinopathies have also been reported to cause ectopic calcium deposition through an unknown mechanism. Addison’s disease is the systemic disease most frequently associated, but the exact pathogenesis remains unclear. Patients are usually asymptomatic, and the diagnosis is made incidentally when rigid helices are noted on palpation and can be confirmed by radiological imaging. A biopsy can also help to differentiate between calcification and ossification. The presence of this condition may be a useful clinical sign, which in some cases precedes the development of endocrinopathies by many years. We report on a case, and we review the current literature.https://www.mdpi.com/2296-3529/8/1/9petrified earsauricular calcificationectopic calcificationear reconstructionmetastatic calcification
spellingShingle Sebastiano Recalcati
Fabrizio Fantini
Petrified Ears: A Clue for Adrenal Insufficiency
Dermatopathology
petrified ears
auricular calcification
ectopic calcification
ear reconstruction
metastatic calcification
title Petrified Ears: A Clue for Adrenal Insufficiency
title_full Petrified Ears: A Clue for Adrenal Insufficiency
title_fullStr Petrified Ears: A Clue for Adrenal Insufficiency
title_full_unstemmed Petrified Ears: A Clue for Adrenal Insufficiency
title_short Petrified Ears: A Clue for Adrenal Insufficiency
title_sort petrified ears a clue for adrenal insufficiency
topic petrified ears
auricular calcification
ectopic calcification
ear reconstruction
metastatic calcification
url https://www.mdpi.com/2296-3529/8/1/9
work_keys_str_mv AT sebastianorecalcati petrifiedearsaclueforadrenalinsufficiency
AT fabriziofantini petrifiedearsaclueforadrenalinsufficiency