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논문KCI 등재

혈장반출(Plasmaphresis)로 호전된 내이 증상을 동반한재발성 다발성 연골염 1예

A Case of Relapsing Polychondritis with Inner Ear Symptom Improved by Plasmaphresis

박시내|윤종현|김홍래|여상원
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2005.10|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제48권 제10호|pp. 1290-1293

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참고문헌

키워드

재발성 다발성 연골염·혈장반출.Relapsing polychondritis·Plasmapheresis.
주제분류이비인후과학

초록

Abstract

Relapsing polychondritis is a rare disease which often presents itself firstly in the ear, nose and throat (ENT) department. Characteristic features include auricular chondritis, arthritis, nasal chondritis, ocular inflammation, respiratory tract involvement and audiovestibular damage. The mainstay of treatment has been corticosteroid but other agents have been used either alone or in conjunction with it. These other agents include non-steroidal anti-inflammatory agents, dapsone and colchicine which are helpful for mild disease and cyclophosphamide, azathioprine, cyclosporin. Authors have recently experienced a case of relapsing polychondritis in a 32 year old man who had suddenly experienced loss of hearing in his left ear with vertigo. The patient showed no significant improvement with the treatment using steroid and immunosuppressive agents, but showed significant hearing improvement when he was aggressively treated with plasmapheresis. We report this case with a review of the literature. (Korean J Otolaryngol 2005;48:1290-3)

참고문헌 (18)

  1. "Polychondropathia", 6, pp.93~100 (1923)
  2. "Relapsing polychondritis", 263, pp.51~8 (1960)
  3. "Relapsing polychondritis.Analytical literature review and studies on pathogenesis", 41, pp.285~99
  4. "Autoantibodiesto cartilage and type II collagen in relapsing polychondritis andother rheumatic disease", 40, pp.473~9 (1981)
  5. "Immunomicroscopic findings in cartilage ofear biopsy specimens"
  6. "Susceptibility to relapsing polychondritis is associatedwith HLA-DR4", 36, pp.660~4 (1993)
  7. "Relapsing polychondritis-report of ten cases", 89, pp.929~46 (1979)
  8. "Prospective study of 23 patients and a review of theliterature 1976"
  9. "Autoimmunereactivity in Cogans syndrome", pp.24~32 (1983)
  10. "Relapsing polychondritis:Audiovestibular manifestations", 81, pp.1208~22 (1971)
  11. "VRelapsing polychondritis:Twocases with tracheal stenosis and inner ear involvement", 106, pp.841~4 (1992)
  12. "Textbook of rheumatology", pp.1458~67 (1985)
  13. "Relapsing polychondritis.Clinical and pathologicfeatures in fourteen cases", 60, pp.653~64 (1964)
  14. "Abnormal enhancement of the membranous labyrinth in a case of relapsingpolychondritis", 107, pp.81~2 (1998)
  15. "Survival and predictive role of early disease manifestations", pp.74~8
  16. "Relapsing polychodritis", 91, pp.188~94 (1970)
  17. "Relapsing polychodritis:Clinical and immunogenetic analysis of 62patients", 24, pp.96~101 (1997)
  18. "Plasmapheresis in autoimmune inner eardisease:Long-term follow-up", 18, pp.572~6 (1997)

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