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Abstract

Relapsing polychondritis (RP) is a systemic autoimmune disorder characterized by episodic and progressive inflammatory disease most commonly presenting as inflammation of the cartilage of the ears, nose, tracheobronchial tree and joints. The course of RP varies from a low-grade, mild condition up to a fulminating and rapidly progressive disease. Spontaneous remissions are common.

This chapter also summarizes important aspects of the disease with a focus on diagnostics criteria. In fact, over the years, three sets of diagnostic criteria for RP have been proposed by McAdam, Damiani and Levine, and Michet, respectively. Although these criteria have not been re-examined by consensus group members and despite the lack of validation, these show high affordability in discriminating patients affected by RP in every day clinical practice.

In conclusion, for achieving reliable classification criteria that would also be useful for the diagnosis of RP, more extensive multicenter studies are needed.

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References

  1. Lutthra HS. Relapsing polychondritis. In: Rheumatoloy, Klippel JH, Dieppe PA, eds. Vol 27, St. Louis, Mosby 1998; 1–4.

    Google Scholar 

  2. Trentham DE, Le CH. Relapsing polychondritis. Ann Intern Med 1998; 129: 114–22.

    CAS  PubMed  Google Scholar 

  3. Jaksch-Warnhorst R. Polychondropathia. Wien Arch Int Med 1923; 6: 93–100.

    Google Scholar 

  4. Pearson MC, Kline MH, NewcomerDV. Relapsing polychondritis. N Engl J Med 1960; 263: 51–8.

    CAS  PubMed  Google Scholar 

  5. Alsalmeh S, Mollenhauer J, Scheuplein F et al. Preferential cellular and humoral immune reactivities to native and denatured collagen types IX and XI in a patient with fatal relapsing chondritis. J Rheumatol 1993; 20: 1419–1424.

    Google Scholar 

  6. Lang B, Rothenfusser A, Lanchbury JS, Rauh G et al. Susceptibility to relapsing polychondritis is associated with HLADR4. Arthritis Rheum 1993; 36: 660–4.

    Article  CAS  PubMed  Google Scholar 

  7. Peter D. Kent, Clement J. Michet, Jr and Harvinder S. Luthra. Relapsing polychondritis. Current Opinion in Rheumatology 2004; 16: 56–61.

    Article  Google Scholar 

  8. McAdam LP, O Hanlan MA, Bluestone R et al. Relapsing polychondritis: prospective study of 23 patients and review of the literature. Medicine (Baltimore) 1967; 55: 193–215.

    Google Scholar 

  9. Michet CJ Jr, McKenna CH, Luthra HS et al. Relapsing polychondritis. Survival and predictive role of early disease manifestations. Ann Int Med 1986; 104: 74–78.

    PubMed  Google Scholar 

  10. Tillie-Leblond I, Wallaert B, Leblond D et al. Respiratory involvement in relapsing polychondritis. Clinical, functional, endoscopic and radiographic evaluations. Medicine (Baltimore) 1998; 77: 168–176.

    Article  CAS  Google Scholar 

  11. Chang Miller A, Okamura M, Torres VE et al. Renal involvement in relapsing polychondritis. Medicine (Baltimore) 1987; 66: 202–217.

    CAS  Google Scholar 

  12. Sundaram MB, Rajput AH. Nervous system complications of relapsing polychondritis. Neurology 1983; 33: 513–515.

    CAS  PubMed  Google Scholar 

  13. Strobel ES, Lang B, Schumacher M et al. Cerebral aneurysm in relapsing polychondritis, J Rheumatol 1992; 19: 1482–1483.

    CAS  PubMed  Google Scholar 

  14. Wasserfallen JB, Schaller MD. Unusual rhombencephalitis in relapsing polychondritis. Ann Rheum Dis 1992; 51: 1184.

    Article  CAS  PubMed  Google Scholar 

  15. Priori R, Conti F, Pittoni V et al. Relapsing polychondritis : a syndrome rather than a distinct clinical entity? Clin Exp Rheumatol 1997; 15: 334–335.

    CAS  PubMed  Google Scholar 

  16. Damiani JM, Levine HL. Relapsing polychondritis. Laryngoscope 1979; 89: 929–46.

    Article  CAS  PubMed  Google Scholar 

  17. Priori R, Paroli MP, Luan FL et al. Cyclosporin A in the treatment of relapsing polychondritis with severe recurrent eye involvement. Br J Rheumatol 1993; 32: 352.

    Article  CAS  PubMed  Google Scholar 

  18. Rosen O, Thiel A, Massenkeil G et al. Autologous stem-cell transplantation in refractory autoimmune diseases after in vivo immunoablation and ex vivo depletion of mononuclear cells. Arthritis Research 2000; 2: 327–36.

    Article  CAS  PubMed  Google Scholar 

  19. Cazabon S, Over K, Butcher J. The successful use of infliximab in resistant relapsing polychondritis and associated scleritis. Eye 2005; 19: 222–4.

    Article  CAS  PubMed  Google Scholar 

  20. Carter JD. Treatment of relapsing polychondritis with a TNF antagonist (letter). J Rheumatol 2005; 32: 1413.

    PubMed  Google Scholar 

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Galeazzi, M., Porciello, G. (2008). Relapsing Polychondritis. In: Shoenfeld, Y., Cervera, R., Gershwin, M.E. (eds) Diagnostic Criteria in Autoimmune Diseases. Humana Press. https://doi.org/10.1007/978-1-60327-285-8_9

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