A case of relapsing polychondritis preceded by inner ear involvement

Relapsing polychondritis is a rare disease of unknown etiology causing systematic inflammation of the whole cartilaginous tissues. We report a patient with relapsing polychondritis preceded by inner ear involvement. A 68-year-old female visited our hospital for a chief complaint of sudden bilateral...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 2005-03, Vol.32 (1), p.71-76
Hauptverfasser: Kumakiri, Kenichi, Sakamoto, Taiko, Karahashi, Taro, Mineta, Hiroyuki, Takebayashi, Satoru
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container_end_page 76
container_issue 1
container_start_page 71
container_title Auris, nasus, larynx
container_volume 32
creator Kumakiri, Kenichi
Sakamoto, Taiko
Karahashi, Taro
Mineta, Hiroyuki
Takebayashi, Satoru
description Relapsing polychondritis is a rare disease of unknown etiology causing systematic inflammation of the whole cartilaginous tissues. We report a patient with relapsing polychondritis preceded by inner ear involvement. A 68-year-old female visited our hospital for a chief complaint of sudden bilateral hearing loss. On pure-tone audiometry, sensorineural hearing loss, 47dB on the right and 51dB on the left, was observed. Later, bilateral auricular chondritis and uveitis developed. On biopsy of the auricular cartilage, perichondritis was observed. The patient was diagnosed with relapsing polychondritis in the early stage, 2 weeks after the onset. Oral predonine administration was initiated, and the auricular inflammation was improved within 10 days. The hearing loss disorder was gradually improved. The steroid dose was reduced, and no decrease in hearing has been observed so far.
doi_str_mv 10.1016/j.anl.2004.09.012
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subjects Aged
Anti-Bacterial Agents - therapeutic use
Anti-Inflammatory Agents - therapeutic use
Audiometry, Pure-Tone - methods
Biopsy
Ear, Inner - pathology
Female
Hearing Loss, Sensorineural - diagnosis
Hearing Loss, Sensorineural - etiology
Humans
Inner ear involvement
Polychondritis, Relapsing - complications
Polychondritis, Relapsing - drug therapy
Polychondritis, Relapsing - pathology
Prednisolone - therapeutic use
Relapsing polychondritis
Severity of Illness Index
Steroid
Uveitis - complications
Uveitis - drug therapy
Uveitis - pathology
Vitamin B 12 - analogs & derivatives
Vitamin B 12 - therapeutic use
title A case of relapsing polychondritis preceded by inner ear involvement
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