Relapsing polychondritis with encephalitis
Relapsing polychondritis with encephalitis
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DOI：
10.1097/01.rhu.0000120900.55459.33
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发表时间：
2004-04-01
影响因子：
3.4
通讯作者：
Chou, CT
中科院分区：
文献类型：
--
作者：
Yang, SM;Chou, CT
复发性多软骨炎患者的中枢神经系统症状很少见。我们报告一个与复发性多软骨炎相关的脑炎病例。患者先表现为双侧耳软骨炎，然后是气管性软骨炎，并发展为脑炎。脑炎的症状和体征被认为最有可能是脉管炎的结果，并在脉冲皮质类固醇治疗后显著改善。我们认为，早期认识到中枢神经系统参与复发性多软骨炎是极其重要的。对疑似病例应尽早给予大剂量糖皮质激素治疗。
Central nervous system manifestations are rare in patients with relapsing polychondritis. We report a case of encephalitis associated with relapsing polychondritis. The patient presented with bilateral auricular chondritis first and then tracheal chondritis, and encephalitis developed. The symtoms and signs of encephalitis were felt mostly likely to be the result of vasculitis and improved dramatically after Pulse corticosteroid therapy. We believe that early recognition of central nervous system involvement in relapsing polychondritis is extremely important. High-dose corticosteroids should be given to suspected cases as early as possible.