Practica Oto-Rhino-Laryngologica
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
A Case of Relapsing Polychondritis First Presenting Perichondritis of Unilateral Auricle
Masaki HayashiMasaru KunimotoNoboru Yamanaka
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2004 Volume 97 Issue 9 Pages 807-811

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Abstract
We report a case of relapsing polychondritis (RP) in a 32-year-old woman who first presented with a painful swelling of the right auricle. She also had arthritis of the elbows and a history of swelling in the apex nasi. Her auricular swelling was not improved by antibiotic therapy, however, injections of methyl-prednisolone significantly reduced her symptoms. Using Damiani's diagnostic criteria, we made an early diagnosis of this case. The auricular chondritis remarkably improved following the steroid therapy. The reduction of prednisolone brought about conjunctivitis in her bilateral eyes. Bilateral auricular chondritis is generally considered a major diagnostic sign of RP, however, we should remember that unilateral auricular chondritis can be an important sign of RP.
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© The Society of Practical Otolaryngology
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