Exacerbation of Relapsing Polychondritis After Renal Surgery: Case Report

Year 2019, Issue: 7, 732 - 738, 30.04.2019

Ümit Taşkın , Mehmet Faruk Oktay Mehmet Erdil Büşra Köse , Abdullah Yüksel Barut

https://doi.org/10.38079/igusabder.507461

Abstract

Relapsing Polychondritis (RP) is a rare, progressive and multisystemic disease characterized by recurrent inflammation of cartilaginous tissues. In this report, we present a case of RP that consulted from a urologist due to complaints with bilateral hearing loss, tinnitus and bilateral auricular hyperemia three days after renal surgery. A physical examination revealed thickening of both external auditory canals, with edema and erythema of the auricles; bilateral nasal crusting and hyperemia of mucoperichondrium with pain were also present.

Keywords

Relapsing polychondritis , auricular cartilage , sensorineural hearing loss , differential diagnosis

Renal Cerrahi Sonrası Şiddetlenen Tekrarlayan Polikondrit: Olgu Sunumu

Abstract

Relapsing polikondrit; kıkırdak ve bağ dokuda inflamasyon ile karakterize, nadir görülen, ilerleyici ve multisistemik bir hastalıktır. Bu makalede renal cerrahiden 3 gün sonra başlayan bilateral işitme kaybı, tinnitus ve bilateral auriküler hiperemi şikâyeti ile yönlendirilen tekrarlayan polikondrit vakası sunulmaktadır. Fizik muayenesinde her iki aurikulada ödem ve eritem ile birlikte dış kulak yolunda kalınlaşma, burun kabuklanması, mukoperikondriumda hiperemi ve ağrı gözlenmiştir.

Keywords

Tekrarlayan polikondrit , kulak kıkırdağı , sensörinöral işitme kaybı , ayırıcı tanı , ayırıcı tanı

References

• Chopra R, Chaudhary N, Kay J. Relapsing polychondritis. Rheum Dis Clin N Am. 2013;39(2):263-276. doi: 10.1016/j.rdc.2013.03.002.
• Iida M, Orime Y, Umeda T, Ishii Y, Shiono M. Emergency repair of acute aortic dissection in a patient with relapsing polychondritis. Annals of Thoracic Cardiovascular Surgery. 2013;19(2):158-161. doi: 10.5761/atcs.cr.12.01885.
• Cañas CA, Bonilla Abadía F. Local cartilage trauma as a pathogenic factor in autoimmunity (one hypothesis based on patients withrelapsing polychondritis triggered by cartilage trauma). Autoimmune Diseases. 2012:453698. doi: 10.1155/2012/453698.
• McAdam LP, O'Hanlan MA, Bluestone R, Pearson CM. Relapsing polychondritis: prospective study of 23 patients and a review of the literature. Medicine (Baltimore). 1976;55(3):193-215.
• Kent PD, Michet CJ Jr, Luthra HS. Relapsing polychondritis. Current Opinion in Rheumatology. 2004;16(1):56-61. doi: 10.1097/00002281-200401000-00011.
• Damiani JM, Levine HL. Relapsing polychondritis-report of ten cases. Laryngoscope. 1979;89(1):929-946.
• Childs LF, Rickert S, Wengerman OC, Lebovics R, Blitzer A. Laryngeal manifestations of relapsing polychondritis and a novel treatment option. J Voice. 2012;26(5):587-589. doi: 10.1016/j.jvoice.2011.07.012.
• Garcia-Egido A, Gutierrez C, De la Fuente C, Gomez F. Relapsing polychondritis-associated meningitis and encephalitis: response to infliximab. Rheumatology (Oxford). 2011;50(9):1721-1723. doi: 10.1093/rheumatology/ker184.
• Wendling D, Godfrin-Valnet M, Prati C. Treatment of relapsing polychondritis with tocilizumab. J Rheumatol. 2013;40(7):1232. doi: 10.3899/jrheum.130371.