Relapsing Polychondritis with Auricular and Ocular Involvement: A Case Report and Literature Review

Relapsing polychondritis (RP) is a rare, immune-mediated systemic disorder with an estimated prevalence of 4.5 to 20 cases per million population.It is characterized by recurrent inflammation of cartilaginous and proteoglycan-rich tissues, particularly affecting the auricles, nasal cartilage, respiratory tract, eyes, and joints.Due to its rarity and variable presentation, diagnosis is often delayed, and misdiagnosis can lead to irreversible complications.We report the case of a 48-yearold male with a two-year history of recurrent bilateral auricular chondritis, nasal pain without deformity, ocular inflammation (scleritis), and arthralgias.The diagnosis was made clinically, Case Reportsupported by elevated inflammatory markers (CRP 50 mg/L) and exclusion of autoimmune and infectious differentials through an extensive immunological workup.The patient responded favorably to corticosteroid therapy.This case highlights the importance of early recognition of characteristic features of RP, particularly auricular chondritis with lobular sparing, in facilitating timely diagnosis and treatment.Given the lack of standardized diagnostic biomarkers and the limited evidence from controlled trials, future research should aim to identify reliable diagnostic tools and evaluate targeted therapies in larger cohorts.

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Published
2025-04-09
DOI
https://doi.org/10.9734/ajcrmh/2025/v8i1224
Primary Topic
Otitis Media and Relapsing Polychondritis
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article
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article

Relapsing Polychondritis with Auricular and Ocular Involvement: A Case Report and Literature Review

Safaa Mhaber, S. Mourabit, M. Moudatir, K. Echchilali et al.
Otitis Media and Relapsing Polychondritis
article

Relapsing Polychondritis with Auricular and Ocular Involvement: A Case Report and Literature Review

Safaa Mhaber, S. Mourabit, M. Moudatir, K. Echchilali, H. El Kabli, A. El Kabli, Barakat Laila
article en

Abstract

Relapsing polychondritis (RP) is a rare, immune-mediated systemic disorder with an estimated prevalence of 4.5 to 20 cases per million population.It is characterized by recurrent inflammation of cartilaginous and proteoglycan-rich tissues, particularly affecting the auricles, nasal cartilage, respiratory tract, eyes, and joints.Due to its rarity and variable presentation, diagnosis is often delayed, and misdiagnosis can lead to irreversible complications.We report the case of a 48-yearold male with a two-year history of recurrent bilateral auricular chondritis, nasal pain without deformity, ocular inflammation (scleritis), and arthralgias.The diagnosis was made clinically, Case Reportsupported by elevated inflammatory markers (CRP 50 mg/L) and exclusion of autoimmune and infectious differentials through an extensive immunological workup.The patient responded favorably to corticosteroid therapy.This case highlights the importance of early recognition of characteristic features of RP, particularly auricular chondritis with lobular sparing, in facilitating timely diagnosis and treatment.Given the lack of standardized diagnostic biomarkers and the limited evidence from controlled trials, future research should aim to identify reliable diagnostic tools and evaluate targeted therapies in larger cohorts.

Vol. 8(1)
Centre Hospitalier Universitaire Ibn Rochd (MA)
Gender equality
Openalex Percentile: Top 89%
Otitis Media and Relapsing Polychondritis
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