title: Nicorandil associated pinna ulceration: a new entity for an otolaryngologist.
abstract: Nicorandil induced ulceration is a phenomenon that is becoming increasingly recognised in clinical practice. However, most cases of Nicorandil induced ulcers appear at the muco-cutaneous interface zones. We report a case of Pinna ulceration where Nicorandil appeared to be the chief aetiological factor. Having ruled out all reasonable alternatives Nicorandil treatment was discontinued and a rapid improvement in the ulcer was observed. To the best of our knowledge this is the first recorded case of external ear ulceration related to Nicorandil use.
authors.affiliation: University of Aberdeen, Aberdeen Royal Infirmary, Aberdeen, Scotland.
authors.forename: Andrew
authors.initials: A
authors.lastname: Carlile
authors.forename: Erin
authors.initials: E
authors.lastname: Sheikh
authors.forename: Muhammad
authors.initials: M
authors.lastname: Shakeel
authors.forename: Sangeeta Kapur
authors.initials: SK
authors.lastname: Maini
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000188:drug therapy; D003937:Diagnosis, Differential; D054644:Ear Auricle; D004427:Ear Diseases / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D008297:Male; D020108:Nicorandil / Q000009:adverse effects* / Q000627:therapeutic use; D014456:Ulcer / Q000139:chemically induced* / Q000175:diagnosis; D014665:Vasodilator Agents / Q000009:adverse effects / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents; D020108:Nicorandil