A Case of Relapsing Polychondritis with Respiratory Symptom Manifestation Alone

• Kanazawa Yuji

  Department of Otolaryngology/Head and Neck Surgery, Kobe City Medical Center General Hospital

• Kikuchi Masahiro

  Department of Otolaryngology/Head and Neck Surgery, Kobe City Medical Center General Hospital

• Naito Yasushi

  Department of Otolaryngology/Head and Neck Surgery, Kobe City Medical Center General Hospital

• Shinohara Shogo

  Department of Otolaryngology/Head and Neck Surgery, Kobe City Medical Center General Hospital

• Fujiwara Keizo

  Department of Otolaryngology/Head and Neck Surgery, Kobe City Medical Center General Hospital

• Tona Yosuke

  Department of Otolaryngology/Head and Neck Surgery, Kobe City Medical Center General Hospital

• Yamazaki Hiroshi

  Department of Otolaryngology/Head and Neck Surgery, Kobe City Medical Center General Hospital

• Kurihara Risa

  Department of Otolaryngology/Head and Neck Surgery, Kobe City Medical Center General Hospital

Bibliographic Information

Other Title

• 気道症状のみを呈した再発性多発性軟骨炎例
• ショウレイ ホウコク キドウ ショウジョウ ノミ オ テイシタ サイハツセイ タハツセイ ナンコツエンレイ

Abstract

Relapsing polychondritis, a comparatively rare condition systemically affecting organs containing collagen, such as cartilage tissue, is diagnosed based on clinical manifestations and pathological findings. Our case report involves a respiratory symptom alone. A 65-year-old man seen for fever and dyspnea was found in computed tomography and endoscopy to have subglottic and tracheal stenosis, necessitating tracheostomy and tracheal cartilage biopsy. Pathologicalily bony cartilage change was seen but no definite auricular inflammation findings. Additional auricular cartilage biopsy, showed no inflammation. Residual auricular cartilage scarring, however, indicated cartilage destruction by previous inflammation or trauma, yielding a final diagnosis of relapsing polychondritis. Steroid therapy quickly relieved symptoms. Auricular cartilage biopsy thus proved useful in definitively diagnosing this condition.

Journal

• Nippon Jibiinkoka Gakkai Kaiho

  Nippon Jibiinkoka Gakkai Kaiho 114 (1), 30-33, 2011

  Japanese Society of Otorhinolaryngology-Head and neck surgery

Keywords

• relapsing polychondritis
• tracheal stenosis
• auricular cartilage biopsy
• diagnostic criteria

Details

• CRID: 1390282679986995072
• NII Article ID: 10029380674
• NII Book ID: AN00191551
• DOI: 10.3950/jibiinkoka.114.30
• COI: 1:STN:280:DC%2BC3M3ltlCisg%3D%3D
• ISSN: 18830854
• ISSN: 00306622
• NDL BIB ID: 10981973
• PubMed: 21387702
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I10981973
• Web Site: https://search.jamas.or.jp/link/ui/2011125855
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed