Vol.100 No.11 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 100 No. 11 November 2007
Bilateral Auricular Pericondritis that Occurred by
Relapsing Polychondritis: A Case Report
Hiromi Nagano and Kousuke Yoshifuku
(Ooshima Prefecture Hospital)
Yuichi Kurono
(Kagoshima University Graduate School of Medical and Dental Sciences)
Relapsing polychondritis is a chronic inflammatory disease associated with an autoimmune disorder involving the cartilaginous tissue, eyes, and blood vessels.
This case report describes an 82-year-old man who was referred to our clinic with a chief complaint of a one-month history of bilateral perichondritis of the auricles. The patient was diagnosed as having relapsing polychondritis in the early stage, one month after onset. The diagnosis was based on bilateral perichondritis and the response to systemic predonine. Antinuclear antibodies, P-ANCA, C-NACA were negative. HLA-DR4 was positive. Intravenous predonine administration was initiated, and auricular chondritis was improved within 3 days.
Key words : auricular perichondritis, relapsing polychondritis, predonine, HLA-DR4