Jawad A S, Burrel M, Lim K L, Scott D G
Rheumatology Department, Norfolk and Norwich Hospital, UK.
Postgrad Med J. 1990 Sep;66(779):768-70. doi: 10.1136/pgmj.66.779.768.
We report the case history of a 57 year old man who has suffered from typical deforming, relapsing polychondritis for 13 years. He has also developed erosive destructive seronegative polyarthritis involving some of his distal interphalangeal, proximal interphalangeal, metacarpophalangeal, intercarpal, wrist, intertarsal and metatarsophalangeal joints. The distribution of joint involvement in the small joints of the hands and feet is asymmetrical. Both hips and knee joints have also been involved necessitating bilateral total hip and right total knee replacement. The articular associations with relapsing polychondritis are discussed.
我们报告了一名57岁男性的病史，他患有典型的变形性、复发性多软骨炎达13年之久。他还出现了侵蚀性破坏性血清阴性多关节炎，累及一些远端指间关节、近端指间关节、掌指关节、腕骨间关节、腕关节、跗骨间关节和跖趾关节。手和脚的小关节受累分布不对称。双侧髋关节和膝关节也受累，需要进行双侧全髋关节置换和右侧全膝关节置换。文中讨论了与复发性多软骨炎相关的关节病变。
