Yunaiyama Daisuke, Aoki Akiko, Kobayashi Hiroshi, Someya Miwako, Okubo Mitsuru, Saito Kazuhiro
Department of Radiology, Tokyo Medical University Hospital, Shinjuku-ku 160-0023, Tokyo, Japan.
Department of Rheumatology, Tokyo Medical University Hachioji Medical Center, Hachioji-shi 193-0998, Japan.
World J Clin Cases. 2022 Feb 6;10(4):1441-1446. doi: 10.12998/wjcc.v10.i4.1441.
Relapsing polychondritis (RP) is a rare inflammatory disease involving the systemic cartilage, such as the auricle, trachea, and bronchiole, among others. A patient with RP shows variable symptoms based on the involved cartilage.
A 72-year-old Japanese woman with a history of redness of the bilateral auricles for 3 d was referred to a clinician. The clinician prescribed antibiotics to the patient; however, the symptoms worsened; thus, she was referred to our hospital. Head and neck magnetic resonance imaging (MRI) showed edematous auricle with remarkable contrast, fluid collection in the bilateral mastoid cells, suggesting otitis media. The eustachian tube (ET) on the right side was also edematous with contrast enhancement. The patient was suspected of RP according to the diagnostic criteria. A biopsy of the auricular cartilage was performed by an otorhinolaryngologist, confirming pathological proof of RP. Treatments with steroids were immediately administered thereafter.
We highlight a rare case of RP with radiologically confirmed involvement of ET in the MRI.
复发性多软骨炎（RP）是一种罕见的累及全身软骨的炎症性疾病，如耳廓、气管和细支气管等。RP患者根据受累软骨表现出不同的症状。
一名72岁有双侧耳廓发红3天病史的日本女性被转诊至一名临床医生处。临床医生给患者开了抗生素；然而，症状恶化；因此，她被转诊至我院。头颈部磁共振成像（MRI）显示耳廓水肿且有明显强化，双侧乳突气房有积液，提示中耳炎。右侧咽鼓管（ET）也有水肿并伴有强化。根据诊断标准，该患者被怀疑为RP。一名耳鼻喉科医生对耳廓软骨进行了活检，证实了RP的病理证据。此后立即给予类固醇治疗。
我们重点介绍了一例罕见的RP病例，MRI显示放射学证实ET受累。
