Hypertrophic Pachymeningitis as an Early Manifestation of Relapsing Polychondritis: Case Report and Review of the Literature
Neurological involvement in relapsing polychondritis (RP) is relatively rare. We describe the case of an 80-year-old man who presented with hypertrophic pachymeningitis (HP) together with arthritis as the first manifestation of RP. Auricular chondritis, which subsequently determined the diagnosis of...
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doaj-81f2e97f142442b89f23cf222c34b89e2020-11-25T00:50:24ZengKarger PublishersCase Reports in Neurology1662-680X2016-10-018321121710.1159/000450850450850Hypertrophic Pachymeningitis as an Early Manifestation of Relapsing Polychondritis: Case Report and Review of the LiteratureSatoru UshiyamaTomomi KinoshitaYasuhiro ShimojimaNobuhiko OhashiDai KishidaDaigo MiyazakiKatsuya NakamuraYoshiki SekijimaShu-ichi IkedaNeurological involvement in relapsing polychondritis (RP) is relatively rare. We describe the case of an 80-year-old man who presented with hypertrophic pachymeningitis (HP) together with arthritis as the first manifestation of RP. Auricular chondritis, which subsequently determined the diagnosis of RP, occurred a few weeks after the detection of HP. The neurological symptoms, as well as arthritis, were promptly improved by treatment with corticosteroids. It is generally difficult to diagnose RP in the absence of typical cartilaginous involvement; however, the present case suggests that HP may occur as an early clinical manifestation of RP.http://www.karger.com/Article/FullText/450850Relapsing polychondritisHypertrophic pachymeningitisAuricular chondritisNeurological involvement |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Satoru Ushiyama Tomomi Kinoshita Yasuhiro Shimojima Nobuhiko Ohashi Dai Kishida Daigo Miyazaki Katsuya Nakamura Yoshiki Sekijima Shu-ichi Ikeda |
spellingShingle |
Satoru Ushiyama Tomomi Kinoshita Yasuhiro Shimojima Nobuhiko Ohashi Dai Kishida Daigo Miyazaki Katsuya Nakamura Yoshiki Sekijima Shu-ichi Ikeda Hypertrophic Pachymeningitis as an Early Manifestation of Relapsing Polychondritis: Case Report and Review of the Literature Case Reports in Neurology Relapsing polychondritis Hypertrophic pachymeningitis Auricular chondritis Neurological involvement |
author_facet |
Satoru Ushiyama Tomomi Kinoshita Yasuhiro Shimojima Nobuhiko Ohashi Dai Kishida Daigo Miyazaki Katsuya Nakamura Yoshiki Sekijima Shu-ichi Ikeda |
author_sort |
Satoru Ushiyama |
title |
Hypertrophic Pachymeningitis as an Early Manifestation of Relapsing Polychondritis: Case Report and Review of the Literature |
title_short |
Hypertrophic Pachymeningitis as an Early Manifestation of Relapsing Polychondritis: Case Report and Review of the Literature |
title_full |
Hypertrophic Pachymeningitis as an Early Manifestation of Relapsing Polychondritis: Case Report and Review of the Literature |
title_fullStr |
Hypertrophic Pachymeningitis as an Early Manifestation of Relapsing Polychondritis: Case Report and Review of the Literature |
title_full_unstemmed |
Hypertrophic Pachymeningitis as an Early Manifestation of Relapsing Polychondritis: Case Report and Review of the Literature |
title_sort |
hypertrophic pachymeningitis as an early manifestation of relapsing polychondritis: case report and review of the literature |
publisher |
Karger Publishers |
series |
Case Reports in Neurology |
issn |
1662-680X |
publishDate |
2016-10-01 |
description |
Neurological involvement in relapsing polychondritis (RP) is relatively rare. We describe the case of an 80-year-old man who presented with hypertrophic pachymeningitis (HP) together with arthritis as the first manifestation of RP. Auricular chondritis, which subsequently determined the diagnosis of RP, occurred a few weeks after the detection of HP. The neurological symptoms, as well as arthritis, were promptly improved by treatment with corticosteroids. It is generally difficult to diagnose RP in the absence of typical cartilaginous involvement; however, the present case suggests that HP may occur as an early clinical manifestation of RP. |
topic |
Relapsing polychondritis Hypertrophic pachymeningitis Auricular chondritis Neurological involvement |
url |
http://www.karger.com/Article/FullText/450850 |
work_keys_str_mv |
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