The role of MRI when relapsing polychondritis is suspected but not proven

Relapsing polychondritis (RP), while relatively rare, presents a characteristic clinical picture. Based upon a symptom complex of auricular, nasal, and respiratory chondritis associated with ocular and otic complaints, diagnosis can frequently be made with confidence in the absence of histologic con...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 1995, Vol.31 (1), p.101-107
Main Authors: Fornadley, John A., Seibert, Donna J., Ostrov, Barbara E., Warren, W.Stuart
Format: Article
Language:English
Subjects:
Airway Obstruction
Biological and medical sciences
Child
Female
Humans
Magnetic Resonance Imaging
Medical sciences
Polychondritis, Relapsing - diagnosis
Polychondritis, Relapsing - drug therapy
Relapsing polychondritis
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Steroids - therapeutic use
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Summary:Relapsing polychondritis (RP), while relatively rare, presents a characteristic clinical picture. Based upon a symptom complex of auricular, nasal, and respiratory chondritis associated with ocular and otic complaints, diagnosis can frequently be made with confidence in the absence of histologic confirmation. We present a case where a therapeutic intervention was required without sufficient criteria for diagnosis. Magnetic resonance imaging (MRI) proved useful in initial evaluation and allowed follow-up imaging demonstrating a gratifying response to steroid treatment. We believe that MRI has an important role in the diagnosis and subsequent evaluation of patients with proven or suspected RP, particularly those with tracheal involvement.
ISSN:0165-5876
1872-8464
DOI:10.1016/0165-5876(94)01068-9