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A 45-year-old white woman with a history of auricular chondritis and hearing loss presents to the clinic with an acute exacerbation of hoarseness, dyspnea, and tenderness over the thyroid cartilage. Treatment for this patient should include which of the following?
Select Your Answer:
Teaching Points
- Because of the patient's history, relapsing polychondritis is most likely.
- Treatment would include a steroid taper dose.
- Close observation would be necessary in case of a rapidly deteriorating course.
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PubMed References
| [1] | Borgia F,Giuffrida R,Guarneri F,Cannavò SP, Relapsing Polychondritis: An Updated Review. Biomedicines. 2018 Aug 2 [PubMed PMID: 30072598] |
| [2] | Zheutlin A,Schiopu E, Relapsing Polychondritis following Treatment with Secukinumab for Ankylosing Spondylitis: Case Report and Review of the Literature. Case reports in rheumatology. 2018 [PubMed PMID: 30057845] |
| [3] | Masuda N,Nishikawa R,Ueda T,Ogata N, Severe panuveitis with relapsing polychondritis. American journal of ophthalmology case reports. 2018 Sep [PubMed PMID: 30050999] |
| [4] | Paravar T, Less common rheumatologic disorders: Current concepts of skin and systemic manifestations. Clinics in dermatology. 2018 Jul - Aug [PubMed PMID: 30047435] |
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| [9] | Rose T,Schneider U,Bertolo M,Klotsche J,Casteleyn V,Biesen R,Burmester GR,Hiepe F, Observational study and brief analysis of diagnostic criteria in relapsing polychondritis. Rheumatology international. 2018 Aug 6 [PubMed PMID: 30084004] |
| [10] | Behar JV,Choi YW,Hartman TA,Allen NB,McAdams HP, Relapsing polychondritis affecting the lower respiratory tract. AJR. American journal of roentgenology. 2002 Jan [PubMed PMID: 11756115] |
| [11] | Lekpa FK,Chevalier X, Refractory relapsing polychondritis: challenges and solutions. Open access rheumatology : research and reviews. 2018 [PubMed PMID: 29391837] |
| [12] | Dion J,Leroux G,Mouthon L,Piette JC,Costedoat-Chalumeau N, [Relapsing polychondritis: What's new in 2017?] La Revue de medecine interne. 2018 Jun [PubMed PMID: 28890262] |
| [13] | Meshkov AD,Novikov PI,Zhilyaev EV,Ilevsky IDJ,Moiseev SV, Tofacitinib in steroid-dependent relapsing polychondritis. Annals of the rheumatic diseases. 2018 May 3 [PubMed PMID: 29724732] |
| [14] | Moulis G,Pugnet G,Costedoat-Chalumeau N,Mathian A,Leroux G,Boutémy J,Espitia O,Bouillet L,Berthier S,Gaultier JB,Jeandel PY,Konaté A,Mékinian A,Solau-Gervais E,Terrier B,Wendling D,Andry F,Garnier C,Cathébras P,Arnaud L,Palmaro A,Cacoub P,Amoura Z,Piette JC,Arlet P,Lapeyre-Mestre M,Sailler L, Efficacy and safety of biologics in relapsing polychondritis: a French national multicentre study. Annals of the rheumatic diseases. 2018 Aug [PubMed PMID: 29535124] |
| [15] | Sharma A,Law AD,Bambery P,Sagar V,Wanchu A,Dhir V,Vijayvergiya R,Sharma K,Gupta A,Panda NK,Singh S, Relapsing polychondritis: clinical presentations, disease activity and outcomes. Orphanet journal of rare diseases. 2014 Dec 20 [PubMed PMID: 25527201] |
