Bellamy N, Dewar C L
Department of Medicine, University of Western Ontario, London, Canada.
J Rheumatol. 1990 Nov;17(11):1525-6.
A 25-year-old patient presented at 14 weeks of her 3rd pregnancy with chondritis affecting the cartilaginous portion of her right ear. The clinical syndrome of recurrent chondritis, scleritis, iritis and arthritis supported a diagnosis of relapsing polychondritis. Fetal and maternal outcomes were favorable despite steroid dependent active disease during the period of fetal organogenesis. Chondritis was limited to the 3rd pregnancy, ocular inflammation occurring in the 2nd and 3rd pregnancies. A 4th pregnancy was uneventful. This may represent the first case of relapsing polychondritis in pregnancy.
一名25岁患者在其第三次怀孕14周时出现右耳软骨部分的软骨炎。复发性软骨炎、巩膜炎、虹膜炎和关节炎的临床综合征支持复发性多软骨炎的诊断。尽管在胎儿器官形成期存在依赖类固醇的活动性疾病,但胎儿和母亲的结局良好。软骨炎仅限于第三次怀孕,眼部炎症发生在第二次和第三次怀孕。第四次怀孕顺利。这可能是妊娠复发性多软骨炎的首例病例。