Adler D, Bröker H J, Simmling-Annefeld M
Laryngol Rhinol Otol (Stuttg). 1981 Apr;60(4):187-91.
Relapsing polychondritis is a rare disease of unknown etiology. The symptomatology is characterised by inflammatory and degenerative changes of multiple cartilaginous structures. --In this peculiar case the nose, the larynx and the cartilages of the ribs and of one hand were involved. Distinct inflammatory changes of the left vocal cord were seen. The diagnosis of the disease was assured by the presented electron microscopic studies. Treatment with high doses of corticosteroids did not prove effective. The disease process could only be controlled by in immunosuppressive combination therapy with prednisone, and cyclophosphamide. --Characteristic clinical features, diagnosis, pathogenesis and therapeutical problems are discussed.
复发性多软骨炎是一种病因不明的罕见疾病。其症状表现为多个软骨结构的炎症性和退行性改变。在这个特殊病例中,鼻子、喉部以及肋骨和一只手的软骨均受累。可见左侧声带明显的炎症改变。所呈现的电子显微镜研究确定了该疾病的诊断。大剂量皮质类固醇治疗未证明有效。疾病进程只能通过泼尼松和环磷酰胺的免疫抑制联合疗法来控制。本文讨论了其特征性临床特征、诊断、发病机制和治疗问题。