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 |
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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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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. 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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. 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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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