반복되는 눈꺼풀과 결막의 염증이 첫 임상증상으로 나타난 재발성 다발성 연골염 1예

• 영문명: Relapsing Polychondritis Presenting with Repeated Inflammation of Bilateral Eyelid and Conjunctiva
• 발행기관: 대한안과학회
• 저자명: 정용진 김형균,Yong Jin Jeong, MD, Hyoung Kyun Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number12, 1524~1530쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.12.15

영문 초록

Purpose: To report a rare case of a 62-year-old man who presented with bilateral eyelid swelling, chemosis, and hyperemia of the conjunctiva, which wax and waned, being the initial manifestation of relapsing polychondritis. Case summary: A 62-year-old man presented with pain and erythematous swelling of the right eyelid for 2 days. There were no other symptoms except chemosis and hyperemia of the conjunctiva. After 1 week, the same symptoms occurred in the left eye, while the lesion of the right eye underwent improvement and aggravation repeatedly. Blood culture tests, Orbital CT, and MRI were performed, but could not confirm a diagnosis. During the follow-up period, erythematous swelling of the left auricle and laryngopharyngitis appeared and erythematous plaques were scattered on the extremities. Punch biopsies were performed; histopathologic examinations concluded to the diagnosis of chondritis. The diagnosis of relapsing polychondritis was confirmed through histologically diagnosed chondritis and repeated ocular symptoms with systemic features. Conclusions: When patients repeatedly present bilateral eyelid swelling with hyperemia and chemosis of the conjunctiva, relapsing polychondritis should be considered in the differential diagnosis. J Korean Ophthalmol Soc 2011;52(12):1524-1530

키워드

Eyelid swelling, Relapsing polychondritis