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Case Reports in Dermatological Medicine
Volume 2014, Article ID 791951, 4 pages
http://dx.doi.org/10.1155/2014/791951
Case Report

Relapsing Polychondritis

Department of Dermatology, Miedzyleski Specialist Hospital in Warsaw, ul. Bursztynowa 2, 04-479 Warsaw, Poland

Received 30 June 2014; Accepted 13 September 2014; Published 30 September 2014

Academic Editor: Alexander A. Navarini

Copyright © 2014 Beata Sosada et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Relapsing polychondritis (RP) is a rare systemic disease characterized by recurrent, widespread chondritis of the auricular, nasal, and tracheal cartilages. Additional clinical features include audiovestibular dysfunction, ocular inflammation, vasculitis, myocarditis, and nonerosive arthritis. Although the cause remains unknown, the etiology is suspected to be autoimmune. We describe a case of a 31-year-old woman with a four-month history of bilateral auricular and nasal chondritis. Infectious and neoplastic diseases were excluded by imaging and laboratory examinations. RP was diagnosed based on three McAdam’s criteria. The patient was medicated with oral prednisolone and methotrexate with positive clinical response. In this case clinical history and detailed physical examination were fundamental in concluding the correct diagnosis and administrating the appropriate medication.