Department of Ophthalmology and Visual Science, Kochi Medical School, Kochi University, Nankoku City, Kochi, Japan.
Ocul Immunol Inflamm. 2021 Feb 17;29(2):352-354. doi: 10.1080/09273948.2019.1674892. Epub 2019 Oct 30.
To report a case of miscellaneous ocular symptoms associated with relapsing polychondritis (RP).
A 58-year-old man presented with multiple ocular symptoms including both anterior and posterior scleritis, conjunctivitis, eyelid edema, eye movement disorder, keratitis, and retinopathy. Miscellaneous systemic inflammation in the right auricle as well as nasal and laryngeal cartilage was also evident together with vestibular and auditory nerve disorders. According to his clinical signs and the results of color Doppler ultrasonography, positron emission tomography and computed tomography, and a biopsy of the right auricle, we made a diagnosis of RP.
Given that RP is potentially fatal, it is important that the condition be diagnosed early and treated promptly. Ophthalmologists should be aware that RP is a potential cause of recurrent and refractory multiple ocular inflammatory disorders associated with systemic symptoms.
报告 1 例复发性多软骨炎(RP)伴发的多种眼部症状。
1 例 58 岁男性患者表现出多种眼部症状,包括前巩膜炎和后巩膜炎、结膜炎、眼睑水肿、眼球运动障碍、角膜炎和视网膜病变。右侧耳廓、鼻和喉软骨也存在多种系统性炎症,同时伴有前庭和听神经障碍。根据他的临床体征、彩色多普勒超声、正电子发射断层扫描和计算机断层扫描以及右侧耳廓活检的结果,我们做出了 RP 的诊断。
鉴于 RP 具有潜在的致命性,早期诊断和及时治疗至关重要。眼科医生应该意识到 RP 是一种潜在的病因,可导致伴有全身症状的复发性和难治性多种眼部炎症性疾病。