Khan A J, Lynfield Y, Baldwin H
Department of Veterans Affairs Medical Center, Brooklyn, New York 11209.
Cutis. 1994 Aug;54(2):98-100.
A 65-year-old man who experienced the acute onset of pain, redness, and swelling of his right ear was treated with antibiotics for erysipelas. Subsequently, the other ear and both eyes became inflammed. Relapsing polychondritis was diagnosed and treatment with prednisone was successful. Relapsing polychondritis, a rare multisystem disease, presents most commonly with auricular chondritis. Other clinical manifestations include arthritis, nasal chondritis, scleritis, damage to tracheal and bronchial cartilage, and aortic, cardiac, and renal involvement. The cause is autoimmune. Recurrent episodes of progressive inflammation result in destruction of cartilage. Treatment consists of administration of corticosteroids and other anti-inflammatory and immunosuppressive drugs.
一名65岁男性，右耳突发疼痛、红肿，因丹毒接受抗生素治疗。随后，另一侧耳朵及双眼均出现炎症。诊断为复发性多软骨炎，使用泼尼松治疗成功。复发性多软骨炎是一种罕见的多系统疾病，最常见的表现为耳软骨炎。其他临床表现包括关节炎、鼻软骨炎、巩膜炎、气管和支气管软骨损伤以及主动脉、心脏和肾脏受累。病因是自身免疫性的。进行性炎症的反复发作导致软骨破坏。治疗包括使用糖皮质激素及其他抗炎和免疫抑制药物。
