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The Resident's Page

The Resident's Page Abstract PATHOLOGIC QUIZ CASE Robert M. Komorn, MD, HoustonA 66-year-old woman was seen because of persistent wheezing after adequate treatment for cardiac failure. Her trouble had begun 18 months previously when she noted the onset of progressive hearing loss, recurrent nasal infections, bilateral recurrent external otitis, and inflammation of the left pinna.Physical examination revealed a chronically ill patient with an obvious saddle deformity of the nose (Fig 1), crusting and inflammation of the nasal and septal mucosa, and erythema and swelling of the left pinna (Fig 2). Narrowing of the subglottic larynx was seen with indirect laryngoscopy and documented by tomograms (Fig 3). A biopsy of the left auricular cartilage (Fig 4 and 5) confirmed the clinical impression. Cardiac failure was never documented. PATHOLOGIC QUIZ CASE Clinical and Pathological Diagnosis PATHOLOGIC QUIZ CASE Pathological Diagnosis.—Degenerating cartilage compatible with relapsing polychondritis.The clinical diagnosis for this patient was relapsing References 1. Thurston CS, Curtis AC: Relapsing polychondritis . Arch Derm 93:664-669, 1966.Crossref 2. Cody DTR, Sones DA: Relapsing polychondritis: Audiovestibular manifestations . Laryngoscope 81:1208-1222, 1971.Crossref 3. Pearson CM, Kline HM, Newcomer VD: Relapsing polychondritis . New Eng J Med 263:51-58, 1960.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1972.00770090718018
Publisher site
See Article on Publisher Site

Abstract

Abstract PATHOLOGIC QUIZ CASE Robert M. Komorn, MD, HoustonA 66-year-old woman was seen because of persistent wheezing after adequate treatment for cardiac failure. Her trouble had begun 18 months previously when she noted the onset of progressive hearing loss, recurrent nasal infections, bilateral recurrent external otitis, and inflammation of the left pinna.Physical examination revealed a chronically ill patient with an obvious saddle deformity of the nose (Fig 1), crusting and inflammation of the nasal and septal mucosa, and erythema and swelling of the left pinna (Fig 2). Narrowing of the subglottic larynx was seen with indirect laryngoscopy and documented by tomograms (Fig 3). A biopsy of the left auricular cartilage (Fig 4 and 5) confirmed the clinical impression. Cardiac failure was never documented. PATHOLOGIC QUIZ CASE Clinical and Pathological Diagnosis PATHOLOGIC QUIZ CASE Pathological Diagnosis.—Degenerating cartilage compatible with relapsing polychondritis.The clinical diagnosis for this patient was relapsing References 1. Thurston CS, Curtis AC: Relapsing polychondritis . Arch Derm 93:664-669, 1966.Crossref 2. Cody DTR, Sones DA: Relapsing polychondritis: Audiovestibular manifestations . Laryngoscope 81:1208-1222, 1971.Crossref 3. Pearson CM, Kline HM, Newcomer VD: Relapsing polychondritis . New Eng J Med 263:51-58, 1960.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Nov 1, 1972

References