Polychondritis affecting the laryngeal cartilages: CT findings

Casselman, J; Sf, Lemahieu; Peene, P; Stoffels, Gabriele

doi:10.2214/ajr.150.2.355

Cited by 29 publications

(11 citation statements)

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“…In the acute phase, the auricular flag appears red, hot and swollen and is very painful. Typically, the lobule is spared [47][48][49]. Repeated inflammatory attacks result in the destruction of the cartilage: the pinna becomes soft and folds down, giving the ear a cauliflower appearance.…”

Section: Connectivities and Related Conditions Chronic Atrophic Polychondritismentioning

confidence: 99%

“…Repeated inflammatory attacks result in the destruction of the cartilage: the pinna becomes soft and folds down, giving the ear a cauliflower appearance. Transmission deafness can occur if there is obstruction of the external auditory canal by edema [28,49]. A perception deafness of cochlear origin or in relation to a cerebral vasculitis, frequently associated with a vestibular syndrome, is also possible [48].…”

Section: Connectivities and Related Conditions Chronic Atrophic Polychondritismentioning

confidence: 99%

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Otolaryngological Manifestations of Systemic Diseases

Halwani

Trabelsi

Zgolli

et al. 2018

SJO

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Section: Connectivities and Related Conditions Chronic Atrophic Polychondritismentioning

confidence: 99%

Section: Connectivities and Related Conditions Chronic Atrophic Polychondritismentioning

confidence: 99%

Otolaryngological Manifestations of Systemic Diseases

Halwani

Trabelsi

Zgolli

et al. 2018

SJO

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“…3). 15,16,[24][25][26][27][28] The extrathoracic airway including the nose, larynx, and upper trachea and the intrathoracic airway including the lower trachea and main stem bronchi can be evaluated by CT. Collapse and calcification of the auricular and nasal cartilage are easily seen. 24,29 Airway dimensions can be determined to assess site and degree of involvement.…”

Section: Radiography Of the Airway In Rpmentioning

confidence: 99%

Relapsing Polychondritis

Staats¹,

Utz²,

Michet³

2002

Seminars in Respiratory and Critical Care Medicine

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Relapsing polychondritis (RP) is a rare disease causing inflammation and destruction of cartilage and other connective tissues. Specific laboratory aberrations are lacking. Predominant clinical manifestations include auricular chondritis, polyarthritis, nasal chondritis, ocular inflammation, audiovestibular damage, and respiratory tract chondritis. A relapsing course is characteristic. Airways are involved in 50% of patients and may cause dyspnea, stridor, wheezing, hoarseness, aphonia, and laryneal or tracheal tenderness. Airflow obstruction may result from RP involving the tracheobronchial tree; there is no interstitial or pulmonary vascular component. Collapse or failure of the trachea to dilate during inspiration is a key feature. Fast computed tomographic (CT) scanners can visualize dynamic airway collapse. Randomized, controlled trials of therapy have not been done. Corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs) are used most commonly, but optimal regimens and duration of therapy have not been elucidated. Endobronchial stents or tracheostomy may be required for severe stenoses refractory to medical therapy.

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“…146Narrowing of the trachea and main bronchi is usually continuous, although more focal areas of stenosis are reported 146147 Multiple tracheal cartilages may appear expanded and calcified, due to cartilage hypertrophy and new bone formation 145…”

Section: Section A: Connective Tissue Diseasesmentioning

confidence: 99%

Imaging of the pulmonary manifestations of systemic disease

Rockall

Rickards

Shaw

2001

Postgraduate Medical Journal

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Lung involvement in systemic disease may be a manifestation of the underlying pathological process, may be a complication of the underlying disease or may be related to the treatment. Lung pathology is dominant in certain diseases, such as in Wegener's granulomatosis, but may be only rarely present, for example in Henoch-Schönlein purpura. However, lung involvement has a profound effect on prognosis and may be challenging to accurately diagnose. In some patients, bronchoalveolar lavage and tissue diagnosis with transbronchial or percutaneous biopsy is not possible, due to the poor clinical state of the patient.

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Polychondritis affecting the laryngeal cartilages: CT findings

Cited by 29 publications

References 0 publications

Otolaryngological Manifestations of Systemic Diseases

Otolaryngological Manifestations of Systemic Diseases

Relapsing Polychondritis

Imaging of the pulmonary manifestations of systemic disease

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