Articles Vol. 65 No. CĐ 3 - Bệnh viện Phổi Trung ương 15/05/2024

29. CASE REPORT: RELAPSING POLYCHONDRITIS CAUSING AIRWAY STENOSIS AT NATIONAL LUNG HOSPITAL IN 2023

Duong Huu Hieu1,2, Cung Van Tan1,2, Nguyen Kim Cuong1,2, Hoang Huong Giang1,2
1 National Lung Hospital
2 Bệnh viện Phổi Trung ương
Corresponding author: Duonghieu1910@gmail.com
DOI: 10.52163/yhc.v65iCD3.1125
14 Views
10 Downloads
Keywords
Relapsing polychondritis, airway stenosis, systemic autoimmune disease.
Abstract

Introduction: Relapsing polychondritis is a rare disease, difficult to diagnose, and easily confused due to atypical symptoms. Airway involvement in relapsing polychondritis is a poor prognostic sign that can be life-threatening.

Objective: Describing a case of relapsing polychondritis causing airway stenosis, providing clinical characteristics and laboratory data, contributing to scientific data, helping towards early diagnosis of the disease, and presenting some treatment methods.

Case report: A 55-year-old male patient was hospitalized with severe respiratory failure. Laryngotracheal, auricular, and nasal chondritis help diagnose the disease. The patient was treated with corticosteroids and a tracheostomy.

Discussion: Discussing diagnostic criteria, diagnostic difficulties, and treatment methods, emphasizing the severity of airway involvement in relapsing polychondritis.

Conclusion: Information from the case report and discussion shows the importance of early and precise diagnosis in the treatment and prevention of irreversible complications in patients with relapsing polychondritis causing airway stenosis.

References
[1]
Arnaud L, Costedoat-Chalumeau N, Mathian A Google Scholar
[2]
et al., French practical guidelines for the diagnosis Google Scholar
[3]
and management of relapsing polychondritis. Google Scholar
[4]
Rev Med Interne, 44(6), 2023, pp. 282-294. Google Scholar
[5]
Mathian A, Miyara M, Cohen-Aubart F et al., Google Scholar
[6]
Relapsing polychondritis: A 2016 update on Google Scholar
[7]
clinical features, diagnostic tools, treatment and Google Scholar
[8]
biological drug use. Best Practice & Research Google Scholar
[9]
Clinical Rheumatology, 30(2), 2016, pp. 316- Google Scholar
[10]
Winter G, Löffelmann T, Chaya S et al., Relapsing Google Scholar
[11]
Polychondritis with Tracheobronchial Google Scholar
[12]
Involvement: A Detailed Description of Two Pediatric Google Scholar
[13]
Cases and Review of the Literature. Klin Google Scholar
[14]
Padiatr, 236(2), 2024, pp. 97-105. Google Scholar
[15]
Ernst A, Rafeq S, Boiselle P et al., Relapsing Google Scholar
[16]
polychondritis and airway involvement. Chest, Google Scholar
[17]
(4), 2009, pp. 1024-1030. Google Scholar
[18]
de Montmollin N, Dusser D, Lorut C et al., Tracheo- Google Scholar
[19]
bronchial involvement of relapsing polychondritis. Google Scholar
[20]
Autoimmunity Reviews, 18(9), 2019,p. 102353. Google Scholar
[21]
Dubey S, Gelder C, Pink G et al., Respiratory Google Scholar
[22]
subtype of relapsing polychondritis frequently Google Scholar
[23]
presents as difficult asthma: A descriptive study Google Scholar
[24]
of respiratory involvement in relapsing polychon- Google Scholar
[25]
dritis with 13 patients from a single UK Google Scholar
[26]
centre. ERJ Open Res, 7(1), 2021. Google Scholar
[27]
Borgia F, Giuffrida R, Guarneri F et al., Relapsing Google Scholar
[28]
Polychondritis: An Updated Review. Biomedicines, Google Scholar
[29]
(3), 2018. Google Scholar
[30]
McAdam L P, O'Hanlan M A, Bluestone R et al., Google Scholar
[31]
Relapsing polychondritis: Prospective study of Google Scholar
[32]
patients and a review of the literature. Medicine Google Scholar
[33]
(Baltimore), 55(3), 1976, pp. 193-215. Google Scholar
[34]
Damiani JM, Levine HL, Relapsing polychondritis-- Google Scholar
[35]
report of ten cases. Laryngoscope, 89(6 Pt Google Scholar
[36]
, 1979, pp. 929-46. Google Scholar
[37]
Michet CJ Jr., McKenna CH, Luthra HS et al., Google Scholar
[38]
Relapsing polychondritis. Survival and predictive role Google Scholar
[39]
of early disease manifestations. Ann Intern Med, Google Scholar
[40]
(1), 1986, pp. 74-8. Google Scholar