Polychondritis presenting with oculomotor and abducens nerve palsies as the initial manifestation

Mitsuhiro Akiyama, Yuko Kaneko, Hironari Hanaoka, Masataka Kuwana, Tsutomu Takeuchi

Research output: Contribution to journalArticle

Abstract

We treated a patient with relapsing polychondritis (RP) who presented with intermittent oculomotor and abducens nerve palsies as the first manifestation. Ear swelling and laryngeal edema emerged 7 months later, which led us to diagnose him with RP. Moderate doses of glucocorticoid resolved all symptoms. Our experience with RP accompanied by oculomotor nerve palsy suggests that RP should be considered in patients with cranial nerve palsies so that they may be promptly diagnosed and treated.

Original languageEnglish
JournalModern Rheumatology
DOIs
Publication statusAccepted/In press - 2015 Jun 29

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Relapsing Polychondritis
Abducens Nerve Diseases
Oculomotor Nerve Diseases
Laryngeal Edema
Cranial Nerve Diseases
Glucocorticoids
Ear

Keywords

  • Abducens nerve palsy
  • Cranial nerve palsy
  • Extraocular muscle palsy
  • Oculomotor nerve palsy
  • Relapsing polychondritis

ASJC Scopus subject areas

  • Rheumatology

Cite this

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abstract = "We treated a patient with relapsing polychondritis (RP) who presented with intermittent oculomotor and abducens nerve palsies as the first manifestation. Ear swelling and laryngeal edema emerged 7 months later, which led us to diagnose him with RP. Moderate doses of glucocorticoid resolved all symptoms. Our experience with RP accompanied by oculomotor nerve palsy suggests that RP should be considered in patients with cranial nerve palsies so that they may be promptly diagnosed and treated.",
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AU - Kaneko, Yuko

AU - Hanaoka, Hironari

AU - Kuwana, Masataka

AU - Takeuchi, Tsutomu

PY - 2015/6/29

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AB - We treated a patient with relapsing polychondritis (RP) who presented with intermittent oculomotor and abducens nerve palsies as the first manifestation. Ear swelling and laryngeal edema emerged 7 months later, which led us to diagnose him with RP. Moderate doses of glucocorticoid resolved all symptoms. Our experience with RP accompanied by oculomotor nerve palsy suggests that RP should be considered in patients with cranial nerve palsies so that they may be promptly diagnosed and treated.

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KW - Extraocular muscle palsy

KW - Oculomotor nerve palsy

KW - Relapsing polychondritis

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