Critical Coronary Artery Stenosis and Aortitis in a Patient with Relapsing Polychondritis
2008; The Journal of Rheumatology Publishing Company Limited; Volume: 35; Issue: 9 Linguagem: Inglês
ISSN
1499-2752
AutoresJonathan D Stein, Peter Lee, Bindee Kuriya, J Tenenbaum, Lorretta B. Daniel, Jagdish Butany, Yves Provost, T. David,
Tópico(s)Vascular Anomalies and Treatments
ResumoTo the Editors: Relapsing polychondritis (RP) is a multisystem autoimmune disease with cartilage inflammation. Cardiovascular manifestations are associated with significant morbidity and mortality1,2. Vasculitis involving the coronary arteries is rare. Our patient developed severe ostial lesions in 2 major coronary arteries and aortitis requiring surgical intervention despite intensive medical treatment. A 30-year-old male Caucasian dental surgeon developed a painful, swollen left ear in January 2001. He was otherwise asymptomatic. Initial laboratory investigations were normal. A clinical diagnosis of relapsing polychondritis was made. His ear inflammation resolved after prednisone 30 mg daily for 3 weeks. Over the next 5 years he…
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