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Abstract
Case Report
A diagnosis of relapsing polychondritis with lesions predominantly in the central part of the lower airways obtained by positron emission tomography/computed tomography
Kyouko Koyamaa Akira Igarashib Masamichi Satob Yoshikane Tokairinb Sumito Inoueb Masafumi Watanabeb
aPostgraduate Clinical Training Center, Yamagata University Hospital
bDepartment of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine
ABSTRACT
A woman in her fifties was admitted to hospital with a one-month history of intermittent fever and persistent cough. Whole-body fluorodeoxyglucose positron emission tomography/computed tomography revealed thickening of the tracheal and bronchial walls and marked tracer uptake in the trachea and main bronchi. Relapsing polychondritis was diagnosed on the basis of the modified criteria proposed by Damiani. The patient was treated with high-dose corticosteroids and her symptoms improved. Reports of relapsing polychondritis with lesions located predominantly in the central part of the lower airways are extremely rare. When imaging reveals thickening of the tracheobronchial walls, relapsing polychondritis should be kept in mind to ensure early diagnosis and treatment.
KEYWORDS
Received 5 Mar 2018 ／ Accepted 31 Jul 2018
AJRS, 7(6): 404-408, 2018
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