Relapsing polychondritis presenting as otitis externa

Benjamin Lee BS, Christopher J Peterson MD, MS, Joshua Peterson MD, Mark D. Lacy MD

ABSTRACT

Relapsing polychondritis remains a challenging diagnosis with cartilage inflammation being the hallmark of this disease. Typical presentations include inflammation of auricular cartilage and joints, although multiple sites can be affected. Symptoms often overlap with other diseases, and the diagnosis is often delayed. Neurologic symptoms are rare and are attributed to CNS vasculitis. Here we report a rare case of relapsing polychondritis with neurological symptoms. This case illustrates both the challenges of diagnosis and the need to consider relapsing polychondritis in cases of cartilaginous inflammation.

Keywords: Relapsing polychondritis; neurologic; central nervous system


Article citation: Lee B, Peterson CJ, Peterson J, Lacy MD. Relapsing polychondritis presenting as otitis externa. The Southwest Respiratory and Critical Care Chronicles 2023;11(46):44–52
From: School of Medicine (BL, JP), Texas Tech University Health Sciences Center, Lubbock, TX; College of Engineering (BL), Texas Tech University, Lubbock, TX; Department of Internal Medicine (CJP), Virginia Tech School of Medicine, Roanoke, VA; Department of Internal Medicine (MDL), School of Medicine, University of New Mexico, Albuquerque, NM
Submitted: 9/21/2022
Accepted: 1/3/2023
Conflicts of interest: none
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