Subhadarshani Sweta, Gupta Vishal, Chahal Anurag, Verma Kaushal K
Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Rep. 2017 Jun 15;2017:bcr-2017-220434. doi: 10.1136/bcr-2017-220434.
We report a young female who presented with saddle-nose and bilateral cauliflower ear deformities along with pyoderma gangrenosum-like ulcers, digital gangrene and pulselessness. Subsequently, she was found to have bilateral conductive hearing loss, a corneal opacity, mild aortic regurgitation and radiological evidence of cavitary changes in lungs and aortoarteritis. Our patient had a constellation of symptoms which posed a diagnostic challenge. Finally, a diagnosis of relapsing polychondritis with several unusual features was made. Overlap with Takayasu's arteritis and granulomatosis with polyangitis, which has been reported rarely in the literature, cannot be excluded.
我们报告了一名年轻女性，她出现鞍鼻和双侧菜花耳畸形，同时伴有坏疽性脓皮病样溃疡、手指坏疽和无脉症。随后，她被发现有双侧传导性听力损失、角膜混浊、轻度主动脉反流以及肺部空洞性改变和大动脉炎的影像学证据。我们的患者有一系列症状，这对诊断构成了挑战。最终，做出了具有若干不寻常特征的复发性多软骨炎的诊断。与文献中很少报道的Takayasu动脉炎和肉芽肿性多血管炎的重叠情况不能排除。
