Polychondritis presenting with oculomotor and abducens nerve palsies as the initial manifestation

Polychondritis presenting with oculomotor and abducens nerve palsies as the initial manifestation
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DOI:
10.3109/14397595.2014.919707
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发表时间:
2016-01-01
影响因子:
2.2
通讯作者:
Takeuchi, Tsutomu
Takeuchi, Tsutomu
中科院分区:
医学3区
文献类型:
--
作者:
Akiyama, Mitsuhiro;Kaneko, Yuko;Takeuchi, Tsutomu

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我们治疗了一个复发性多发性肌炎(RP)的病人,他以间歇性眼神经和外展神经麻痹为首发症状。7个月后出现耳肿胀和喉水肿,这导致我们诊断为RP。中等剂量的糖皮质激素解决了所有症状。我们的经验与RP伴有眼神经麻痹建议RP应考虑在患者的颅神经麻痹,使他们可以及时诊断和治疗。
We treated a patient with relapsing polychondritis (RP) who presented with intermittent oculomotor and abducens nerve palsies as the first manifestation. Ear swelling and laryngeal edema emerged 7 months later, which led us to diagnose him with RP. Moderate doses of glucocorticoid resolved all symptoms. Our experience with RP accompanied by oculomotor nerve palsy suggests that RP should be considered in patients with cranial nerve palsies so that they may be promptly diagnosed and treated.