Relapsing polychondritis

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

Dyspnoea. Airway obstruction on respiratory function tests.

Patient Data

Age: 30
Gender: Male
CT

Contrast enhanced CT thorax demonstrates long segment narrowing of the thoracic trachea with smooth tracheobroncheal thickening and sparing of the posterior tracheobroncheal membrane (white arrows).

There is also increased attenuation of the tracheal and central bronchial cartilages. 

 

Case Discussion

Relapsing polychondritis is an autoimmune disease with anti-cartilage autoantibodies production leading to recurrent inflammation of cartilaginous sites including nasal cartilage, auricular cartilage, peripheral polyarthritis, ocular inflammation and tracheobronchial involvement. Chronic airway cartilage inflammation can lead to eventual fibrosis and tracheomalacia which is a major cause of morbidity and mortality. 

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Case information

rID: 31793
Case created: 28th Oct 2014
Last edited: 12th Nov 2017
System: Chest
Inclusion in quiz mode: Included

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