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被误诊为复发性多软骨炎的小儿红耳综合征:一例报告及文献复习

Pediatric Red Ear Syndrome Misdiagnosed as Relapsing Polychondritis: A Case Report and Review of Literature.

作者信息

Sandakly Nicolas, El Koubayati Georgio, Sarkis Jeannette, Haddad Fady

机构信息

Faculty of Medical Sciences, Lebanese University, Hadath Campus, Lebanon.

Department of Internal Medicine, Lebanese Hospital Geitaoui University Medical Center, Beirut, Lebanon.

出版信息

Case Rep Pediatr. 2025 Jan 20;2025:6464822. doi: 10.1155/crpe/6464822. eCollection 2025.

DOI:10.1155/crpe/6464822
PMID:39877331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11772057/
Abstract

Red ear syndrome (RES) is a rare clinical entity presenting with paroxysmal erythema of one or both ears associated with a burning sensation or earache. The onset of symptoms could be either spontaneous or triggered by touch, stress, coughing, sneezing, neck movements, chewing, and combing hair. While most cases are usually described in adults, it can rarely present in children. This article reports a case of pediatric RES, first misdiagnosed as relapsing polychondritis. The patient's condition improved after introduction of ibuprofen, isoptin, and amitriptyline, with no new attacks reported after a 1 year follow up.

摘要

红耳综合征(RES)是一种罕见的临床病症,表现为一侧或双侧耳朵阵发性红斑,并伴有烧灼感或耳痛。症状的发作可以是自发的,也可由触摸、压力、咳嗽、打喷嚏、颈部运动、咀嚼和梳头引发。虽然大多数病例通常在成人中描述,但在儿童中也很少出现。本文报告一例儿童RES病例,最初被误诊为复发性多软骨炎。在使用布洛芬、异搏定和阿米替林后,患者病情有所改善,随访1年后未报告新的发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a9f/11772057/14deddda6e7c/CRIPE2025-6464822.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a9f/11772057/14deddda6e7c/CRIPE2025-6464822.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a9f/11772057/14deddda6e7c/CRIPE2025-6464822.001.jpg

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本文引用的文献

1
Relapsing polychondritis in children: A review.儿童复发性多软骨炎:综述。
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Coexistence of Migraine Headache and Red Ear Syndrome.偏头痛与红耳综合征并存。
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Red ear syndrome: literature review and a pediatric case report.红耳综合征:文献综述及一例儿科病例报告。
Int J Pediatr Otorhinolaryngol. 2015 Mar;79(3):281-5. doi: 10.1016/j.ijporl.2014.12.023. Epub 2014 Dec 25.
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The red ear syndrome.红耳综合征。
J Headache Pain. 2013 Oct 4;14(1):83. doi: 10.1186/1129-2377-14-83.
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Red ear syndrome: a review of all published cases (1996-2010).红耳综合征:所有已发表病例的回顾(1996-2010 年)。
Cephalalgia. 2013 Feb;33(3):190-201. doi: 10.1177/0333102412468673. Epub 2012 Dec 3.
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Relapsing polychondritis in childhood: three case reports, comparison with adulthood disease and literature review.儿童复发性多软骨炎:三例报告,并与成人疾病进行比较及文献复习。
Rheumatol Int. 2013 Jul;33(7):1873-8. doi: 10.1007/s00296-011-2336-6. Epub 2012 Jan 1.
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Prevalence of red ear syndrome in juvenile primary headaches.青少年原发性头痛中红耳综合征的患病率。
Cephalalgia. 2011 Apr;31(5):597-602. doi: 10.1177/0333102410388437. Epub 2010 Dec 1.
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