In Reply: Chondrodermatitis nodularis helicis

In Reply: We thank Dr. Zhang and colleagues for their interest in our article and for their excellent queries. Although granuloma annulare can involve the external ear, it typically occurs on the antihelix, as noted in the excellent article published by Zhang et al.¹ The favorable response of relieving pressure to the external ear by sleeping on the unaffected side was more consistent with CNH. The patient described in our article had no evidence for any of the systemic inflammatory conditions mentioned by Dr. Zhang and colleagues.

• Copyright © 2023 The Cleveland Clinic Foundation. All Rights Reserved.