Relapsing polychondritis
clinical presentation diagnosis and treatment
Keywords:
RELAPSING POLYCHONDRITIS
Abstract
Relapsing polychondritis (RP) is an unusual systemic autoimmune disease, of unknown etiology and recurrent nature, that is more frequent between the third and the fourth decade of life. We present a case of relapsing polychondritis, stating clinical and therapeutic issues about a disease that is clinically diagnosed, with the typical signs and symptoms of a systemic disease, and emphasize on the need for a multidisciplinary approach of the patient suffering from an immune-mediates systemic disease.
References
(1) Zeuner M, Straub RH, Rauh G, Albert ED, Schölmerich J, Lang B. Relapsing polychondritis: clinical and immunogenetic analysis of 62 patients. J Rheumatol 1997; 24(1): 96-101.
(2) Trentham DE, Le CH. Relapsing polychondritis. Ann Intern Med 1998; 129(2): 114-22.
(3) Letko E, Zafiraskis P, BaltaTzis S, Voudouri A, Livir-Rallatos C, Foster CS. Relapsing polychondritis: a clinical review. Semin Arthritis Rheum 2002; 31(6): 384-95.
(4) Jaksch-Wartenhorst R. Polychondropathia. Wien Arch Intern Med 1923; 6: 93-100.
(5) Pearson CM, Kline HM, Newcomer VD. Relapsing polychondritis. N Engl J Med 1960; 263: 51-8.
(6) 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.
(7) Luthra HS, Michet CJ. Relapsing polychondritis. En: Klippel JH, Dieppe PA. Rheumathology. St Louis: Mosby, 1994: 31.1-31.4.
(8) Meza J, Remes J, Montaño A. Policondritis recidivante: presentación de 5 casos y revisión de la literatura. Rev Mex Reumatol 2001; 16(5): 309-14.
(9) Díaz A, Dolinsky D, Prodanov A, Schiavo L, Liñares L. Policondritis Recidivante. Cuad Med Interna (Uruguay) 2002: 52-6.
(10) Balsa A, Expinosa A, Cuesta M, MacLeod TI, Gijón-Baños J, Maddison PJ.
(11) Chow MT, Anderson SF. Relapsing polychondritis. Optom Vis Sci 2000; 77(6): 286-92.
(12) Hoang-Xaun T, Foster CS, Rice BA. Scleritis in relapsing polychondritis. Resonse to therapy. Ophthalmology 1990; 97(7): 892-8.
(13) Tenorio G, Bustos R, Lino L. Manifestaciones sistémicas y oculares de la policondritis recurrente. Rev Med Hosp Gen Mex 2004; 67(4): 189-95.
(14) Fariña M, Fernández A, Consani S, Cuadro R, Larre Borges A. Asociación de nefropatía por Sindrome de Sjogren y Policondritis Recidivante. Arch Med Interna (Montevideo) 2008; 30(2-3): 53-78.
(15) Firestein GS, Gruber HE, Weisman MH, Zvaifler NJ, Barber J, O’Duffy JD. Mouth and genital ulcers with inflamed cartilage: MAGIC syndrome. Five patients with features of relapsing polychondritis and Behçet’s disease. Am J Med 1985; 79(1): 65-72.
(16) Hochberg M. Policondritis Recidivante. En: Ruddy S, Harris E, Sledge C, Budd R, Sergent J. Kelley´s reumatología. 6ª ed. Madrid: Marbán, 2003: 1463-7.
(17) Franssen MJ, Boerbooms AM, van de Putte LB. Polychondritis and rheumatoid artritis: Case report and review of the literature. Clin Rheumatol 1987; 6(3): 453-7.
(18) Harisdangkul V, Johnson WW. Association between relapsing polychondritis and systemic lupus erythematosus. South Med J 1994; 87(7): 753-7.
(19) Papo T, Piette JC, Le Thi Huong D, Godeau P, Meyer O, Kahn MF, et al. Antineutrophil cytoplasmic antibodies in polychondritis. Ann Rheum Dis 1993; 52(5): 384-5.
(20) Ebringer R, Rook G, Swana GT, Bottazzo GF, Doniach D. Autoantibodies to cartilage and tipe II collagen in relapsing polychondritis and other rheumatic diseases. Ann Rheum Dis 1981; 40(5): 473-9.
(21) Jabs DA, Rosenbaum JT, Foster CS, Holland GN, Jaffe GJ, Louie JS, et al. Guidelines for the use of immunosuppressive drugs in patients with ocular inflammatory disorders: recommendations of an expert panel. Am J Ophthalmol 2000; 130(4): 492-513.
(22) Michet CJ Jr, McKenna CH, Luthra HS, O’Fallon WM. Relapsing polichondrytis: survival and predictive role of early disease manifestations. Ann Intern Med 1986; 104(1): 74-8.
(2) Trentham DE, Le CH. Relapsing polychondritis. Ann Intern Med 1998; 129(2): 114-22.
(3) Letko E, Zafiraskis P, BaltaTzis S, Voudouri A, Livir-Rallatos C, Foster CS. Relapsing polychondritis: a clinical review. Semin Arthritis Rheum 2002; 31(6): 384-95.
(4) Jaksch-Wartenhorst R. Polychondropathia. Wien Arch Intern Med 1923; 6: 93-100.
(5) Pearson CM, Kline HM, Newcomer VD. Relapsing polychondritis. N Engl J Med 1960; 263: 51-8.
(6) 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.
(7) Luthra HS, Michet CJ. Relapsing polychondritis. En: Klippel JH, Dieppe PA. Rheumathology. St Louis: Mosby, 1994: 31.1-31.4.
(8) Meza J, Remes J, Montaño A. Policondritis recidivante: presentación de 5 casos y revisión de la literatura. Rev Mex Reumatol 2001; 16(5): 309-14.
(9) Díaz A, Dolinsky D, Prodanov A, Schiavo L, Liñares L. Policondritis Recidivante. Cuad Med Interna (Uruguay) 2002: 52-6.
(10) Balsa A, Expinosa A, Cuesta M, MacLeod TI, Gijón-Baños J, Maddison PJ.
(11) Chow MT, Anderson SF. Relapsing polychondritis. Optom Vis Sci 2000; 77(6): 286-92.
(12) Hoang-Xaun T, Foster CS, Rice BA. Scleritis in relapsing polychondritis. Resonse to therapy. Ophthalmology 1990; 97(7): 892-8.
(13) Tenorio G, Bustos R, Lino L. Manifestaciones sistémicas y oculares de la policondritis recurrente. Rev Med Hosp Gen Mex 2004; 67(4): 189-95.
(14) Fariña M, Fernández A, Consani S, Cuadro R, Larre Borges A. Asociación de nefropatía por Sindrome de Sjogren y Policondritis Recidivante. Arch Med Interna (Montevideo) 2008; 30(2-3): 53-78.
(15) Firestein GS, Gruber HE, Weisman MH, Zvaifler NJ, Barber J, O’Duffy JD. Mouth and genital ulcers with inflamed cartilage: MAGIC syndrome. Five patients with features of relapsing polychondritis and Behçet’s disease. Am J Med 1985; 79(1): 65-72.
(16) Hochberg M. Policondritis Recidivante. En: Ruddy S, Harris E, Sledge C, Budd R, Sergent J. Kelley´s reumatología. 6ª ed. Madrid: Marbán, 2003: 1463-7.
(17) Franssen MJ, Boerbooms AM, van de Putte LB. Polychondritis and rheumatoid artritis: Case report and review of the literature. Clin Rheumatol 1987; 6(3): 453-7.
(18) Harisdangkul V, Johnson WW. Association between relapsing polychondritis and systemic lupus erythematosus. South Med J 1994; 87(7): 753-7.
(19) Papo T, Piette JC, Le Thi Huong D, Godeau P, Meyer O, Kahn MF, et al. Antineutrophil cytoplasmic antibodies in polychondritis. Ann Rheum Dis 1993; 52(5): 384-5.
(20) Ebringer R, Rook G, Swana GT, Bottazzo GF, Doniach D. Autoantibodies to cartilage and tipe II collagen in relapsing polychondritis and other rheumatic diseases. Ann Rheum Dis 1981; 40(5): 473-9.
(21) Jabs DA, Rosenbaum JT, Foster CS, Holland GN, Jaffe GJ, Louie JS, et al. Guidelines for the use of immunosuppressive drugs in patients with ocular inflammatory disorders: recommendations of an expert panel. Am J Ophthalmol 2000; 130(4): 492-513.
(22) Michet CJ Jr, McKenna CH, Luthra HS, O’Fallon WM. Relapsing polichondrytis: survival and predictive role of early disease manifestations. Ann Intern Med 1986; 104(1): 74-8.
Published
2009-09-30
How to Cite
1.
Silvariño R, Vola ME, Schimchak P, Cairoli E, Alonso J. Relapsing polychondritis. Rev. Méd. Urug. [Internet]. 2009Sep.30 [cited 2024Nov.25];25(3):168-72. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/460
Section
Clinical Cases
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