A case of relapsing polychondritis presenting as mediastinal syndrome, diagnosed by CT scans of the trachea and head

M. L. Cossu, S. Rovasio, M. Iannuccelli, M. Coppola, G. Noya

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective. The aim of this study is to evaluate the significance of CT scans of the trachea and head in the diagnosis of Relapsing Polychondritis (RP). Design. Relapsing polychondritis is a disease involving cartilaginous structures, particularly those of the ears, nose and trachea. Diagnosis is based on specific clinical features and immuno-histopathological evaluation of the cartilages involved. Setting and patients. We describe a case of RP in which the most evident clinical signs (cough, dyspnoea, vertigo, tinnitus, headache, oedema of the face and shoulders and fever), led us first to suspect a mediastinal compression syndrome. Intervention. A CT scan of the trachea and head revealed details which established the correct diagnosis, supported by other typical RP symptoms and by histopathological examination of the cartilage. Main outcome measures. Evaluation by CT scan of the chest, the mediastinum, the head and the pinnae. Results. CT scanning revealed thickening and calcification of the anterolateral tracheal wall and main bronchi besides marked narrowing of the trachea. CT of the head showed calcification also of the external auditory meatus and part of the pinnae. Conclusion. We consider that CT scan of the trachea and head is helpful in evaluating the bronchial tree, the auditory meatus and pinnae as well as being a valid tool for the final diagnosis and in following the course of the disease.

Original languageEnglish
Pages (from-to)233-236
Number of pages4
JournalPanminerva Medica
Volume39
Issue number3
Publication statusPublished - Sep 1997

Fingerprint

Relapsing Polychondritis
Trachea
Head
Cartilage
Tinnitus
Vertigo
Mediastinum
Bronchi
Nose
Cough
Dyspnea
Ear
Headache
Edema
Fever
Thorax
Outcome Assessment (Health Care)

Keywords

  • Polychondritis
  • Relapsing

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cossu, M. L., Rovasio, S., Iannuccelli, M., Coppola, M., & Noya, G. (1997). A case of relapsing polychondritis presenting as mediastinal syndrome, diagnosed by CT scans of the trachea and head. Panminerva Medica, 39(3), 233-236.

A case of relapsing polychondritis presenting as mediastinal syndrome, diagnosed by CT scans of the trachea and head. / Cossu, M. L.; Rovasio, S.; Iannuccelli, M.; Coppola, M.; Noya, G.

In: Panminerva Medica, Vol. 39, No. 3, 09.1997, p. 233-236.

Research output: Contribution to journalArticle

Cossu, ML, Rovasio, S, Iannuccelli, M, Coppola, M & Noya, G 1997, 'A case of relapsing polychondritis presenting as mediastinal syndrome, diagnosed by CT scans of the trachea and head', Panminerva Medica, vol. 39, no. 3, pp. 233-236.
Cossu, M. L. ; Rovasio, S. ; Iannuccelli, M. ; Coppola, M. ; Noya, G. / A case of relapsing polychondritis presenting as mediastinal syndrome, diagnosed by CT scans of the trachea and head. In: Panminerva Medica. 1997 ; Vol. 39, No. 3. pp. 233-236.
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