2024-03-29T10:19:37Z
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oai:u-ryukyu.repo.nii.ac.jp:02015818
2022-10-31T07:45:05Z
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[症例報告]Relapsing polychondritis の1例
A Case of Relapsing Polychondritis
豊見山, 寛
金城, 勇徳
下地, 克佳
兼島, 洋
伊良部, 勇栄
中村, 浩明
大宜見, 辰雄
中富, 昌夫
小張, 一峰
伊集, 操
松井, 克明
Tomiyama, Hiroshi
Kinjo, Yutoku
Shimoji, Katsuyoshi
Kaneshima, Hiroshi
Irabu, Yuei
Nakamura, Hiroaki
Ogimi, Tatsuo
Nakatomi, Masao
Kobari, Kazumine
Iju, Misao
Matsui, Katsuaki
open access
琉球医学会
relapsing polychondritis
saddle nose
auricular deformity
tracheal narrowing
joint pain
A case of Relapsing polychondritis was reported. A 61-years-old man was admitted to our hospital with his complaints of dyspnea, pain of the left auricle and nasal radix. On physical examination deformity of the left aurice, saddle nose and teleangiectasia of the ala nasi were noticed and there was no abnormal finding on auscultation and percussion of the lung. Chest roentgenogram and chest CT scan showed narrowed trachea. On pulmonary function test mixed ventilatory dysfunction was revealed. Flow volume curve showed obstructive pattern, decreased peak flow rate and fluttered curve on expilatory phase. On bronchofiberscopy lower tracheal cartilage crescents were not distinct and stenosis with edema of the bronchial membrane was observed. On histological examination of the specimen obtained from the left auricular cartilage infiltration of lymphocytes and plasma cells or fibrosis on cartilage and pericartilage were observed. In spite of the administration with corticosteroid, cyclophosphamide, azathioprine, indomethacin, acetyl salicylic acid, mephenamic acid or colchicin, his symptoms were not improved.
論文
琉球大学医学部
Faculty of Medicine, University of the Ryukyus
1984
jpn
journal article
VoR
http://hdl.handle.net/20.500.12000/0002015818
https://u-ryukyu.repo.nii.ac.jp/records/2015818
0289-1530
AN10027430
琉球大学医学会雑誌 : 医学部紀要 = Ryukyu medical journal
7
2
103
110
https://u-ryukyu.repo.nii.ac.jp/record/2015818/files/v7p103.pdf