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Takwoingi YM. Relapsing polychondritis associated with bilateral stapes footplate fixation: a case report. J Med Case Rep. 2009;3:8496doi: 10.4076/1752-1947-3-8496.
Takwoingi, Y. M. (2009). Relapsing polychondritis associated with bilateral stapes footplate fixation: a case report. Journal of medical case reports, 38496. https://doi.org/10.4076/1752-1947-3-8496
Takwoingi, Yohanna M. "Relapsing polychondritis associated with bilateral stapes footplate fixation: a case report." Journal of medical case reports vol. 3 (2009): 8496. doi: https://doi.org/10.4076/1752-1947-3-8496
Takwoingi YM. Relapsing polychondritis associated with bilateral stapes footplate fixation: a case report. J Med Case Rep. 2009 Sep 09;3:8496. doi: 10.4076/1752-1947-3-8496. PMID: 19918278; PMCID: PMC2767140.
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J Med Case Rep. 2009 Sep 09;3:8496. doi: 10.4076/1752-1947-3-8496.

Relapsing polychondritis associated with bilateral stapes footplate fixation: a case report.

Journal of medical case reports

Yohanna M Takwoingi

Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, City Hospital Dudley Road, Birmingham UK.

PMID: 19918278 PMCID: PMC2767140 DOI: 10.4076/1752-1947-3-8496

Abstract

INTRODUCTION: Relapsing polychondritis is a rare multisystem autoimmune disease of uncertain etiology characterized by recurrent episodes of inflammation and progressive destruction of cartilaginous tissues. Its respiratory, cardiovascular, renal and neurological complications are life-threatening, and it is thus important to recognize the disease and its complications early. Relapsing polychondritis may follow a slowly evolving or rapidly progressive course.

CASE PRESENTATION: The case of a 39-years-old Caucasian woman with a three-year history of recurrent bilateral chondritis of the auricles, nasal chondritis, seronegative polyarthritis and dermatitis is reported. She had an associated bilateral stapedial fixation and one side was successfully operated on. She also had a large septal perforation involving both the cartilaginous and bony parts. The patient first presented with severe cutaneous inflammation when she was only one month old, and so this is an illustrative case of relapsing polychondritis that slowly evolved over many years.

CONCLUSIONS: Relapsing polychondritis is still a relatively uncommon condition, which explains why there is often a delayed diagnosis of the disease. It is usually difficult to examine tympanic membranes in cases of relapsing polychondritis, and, therefore stapes fixation should also be suspected when there is an associated conductive hearing loss.

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