کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8964117 1646647 2018 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Associations rares ou trompeuses entre pathologies articulaires et pathologies ORL
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ایمونولوژی، آلرژی و روماتولوژی
پیش نمایش صفحه اول مقاله
Associations rares ou trompeuses entre pathologies articulaires et pathologies ORL
چکیده انگلیسی
Relapsing polychondritis frequently overlaps with various inflammatory rheumatisms, including vasculitis or Behçet's disease (MAGIC syndrome). Suspicion of auricular, nasal, or tracheal chondritis during history-taking can be reinforced by findings of PET-scan, which is highly sensitive for chondritis, and can also disclose associated aortitis. Cogan's syndrome (interstitial keratitis and cochleo-vestibular inflammation, with vertigo and hearing loss) is also often associated with aortitis and vasculitis. Gout tophi have been observed in the nose, ears, and temporo-mandibular joints. Blue stains of nose or ears should suggest ochronosis, especially when otoscopy reveals a contrast between discoloured cerumen and pigmented tympanic membranes. Rheumatoid nodules may affect vocal folds, and minor crico-arytenoid arthritis is frequently found in rheumatoid arthritis, but it can also worsen other rheumatic conditions. Respiratory distress with stridor is rarely encountered in rheumatic conditions but requires an emergency intubation. Pharyngitis unveils some Still's disease and may be complicated by retro-pharyngeal abscess or crico-thyroid perichondritis. Odynophagia is a clinical feature observed in various auto-inflammatory disorders, mainly mevalonate-kinase deficiency, but also TRAPS and PAPA syndromes (epiglottis oedema). PFAPA syndrome with periodic fever, pharyngitis, aphtous stomatitis, and cervical adenopathy, is often associated with arthalgias. Kikuchi syndrome (cervical necrotizing adenitis) can antedate lupus and Sjögren's syndromes. Remissions of polyarthritis following cure of nasal polyposis have been reported.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Revue du Rhumatisme Monographies - Volume 85, Issue 4, September 2018, Pages 308-313
نویسندگان
,