Journal Information
Vol. 3. Issue 1.
Pages 45-47 (January - February 2007)
Share
Share
Download PDF
More article options
Vol. 3. Issue 1.
Pages 45-47 (January - February 2007)
Full text access
Relapsing Polychondritis Associated With a Lymphoplasmocytic Lymphoma and Eritema Nodosum
Policondritis recidivante asociada a linfoma linfoplasmocítico y eritema nudoso
Visits
5525
Isabel Castrejóna, Mónica Ibáñeza, Esther Vicentea, Juan Luis Steegmannb, Santos Castañedaa,
Corresponding author
scastas@tiscali.es

Correspondence: Servicio de Reumatología. Hospital de la Princesa. Diego de León, 62. 28006 Madrid. España.
a Servicio de Reumatología, Hospital Universitario de la Princesa, Madrid, Spain
b Servicio de Hematología, Hospital Universitario de la Princesa, Madrid, Spain
This item has received
Article information
Abstract
Bibliography
Download PDF
Statistics
Abstract

Relapsing polychondritis is a disease of unknown etiology characterized by episodic inflammation of cartilaginous tissues. More rarely, it has been described as a paraneoplastic phenomenon mainly associated with myelodysplastic syndromes or other haematologic diseases. We present a case of relapsing polychondritis associated to low degree lymphoplasmocytic lymphoma whose picture was punctuated by cutaneous erythema nodosum and anterior uveitis. The clinical evolution was satisfactory with glucocorticoids and rituximab treatment.

Key words:
Relapsing polychondritis
Paraneoplastic syndrome
Lymphoma
Erythema nodosum
Resumen

La policondritis recidivante es una enfermedad de etiología desconocida que se caracteriza por episodios recurrentes de inflamación de los tejidos cartilaginosos. En raras ocasiones se ha descrito como un cuadro paraneoplásico, principalmente asociado a síndrome mielodisplásico y a diferentes tipos de neoplasias hematológicas. Presentamos un caso de policondritis recidivante asociada a linfoma linfoplasmocítico de bajo grado que, en su evolución, presentó afección cutánea en forma de eritema nudoso y uveítis anterior. La evolución clínica posterior fue satisfactoria, con tratamiento inmunosupresor con glucocorticoides y rituximab.

Palabras clave:
Policondritis recidivante
Síndrome paraneoplásico
Linfoma
Eritema nudoso
Full text is only aviable in PDF
References
[1.]
J.C. Piette, P. Vinceneux, et al.
Relapsing polychondritis.
Kelley's textbook of Rheumatology, pp. 1541-1546
[2.]
I. Herrera, R. Concha, E.G. Molina, E.R. Schiff, R.D. Altman.
Relapsing polychondritis, chronic hepatitis C virus infection and mixed cryoglobulinemia.
Semin Artritis Rheum, 33 (2004), pp. 388-403
[3.]
C.E. Pavesio, F.M. Meier.
Systemic disorders associated with episcleritis and scleritis.
Curr Opin Ophthalmol, 12 (2001), pp. 471-478
[4.]
C. Francès, R. el Rassi, J.L. Laporte, M. Rybojad, T. Papo, J.C. Piette.
Dermatologic manifestations of relapsing polychondritis.
Medicine, 80 (2001), pp. 173-179
[5.]
M. Hebbar, M. Brouillard, E. Wattel, M. Decoulx, P.Y. Haltron, B. Devulder, et al.
Association of myelodysplastic syndrome and relapsing polychondritis: further evidence.
Leukemia, 9 (1995), pp. 731-733
[6.]
B. Lang, A. Rothenfusser, J.S. Lanchbury, G. Rauh, F.C. Breedveld, A. Urlacher, et al.
Susceptibility to relapsing polychondritis is associated with HLADR4.
Arthritis Rheum, 36 (1993), pp. 660-664
[7.]
C.J. Michet Jr., C.H. McKenna, H.S. Luthra, W.M. O'Fallon.
Relapsing polychondritis: survival and predictive role of early disease manifestations.
Ann Intern Med, 104 (1986), pp. 74-78
[8.]
D.E. Trentham, C.H. Le.
Relapsing polychondritis.
Ann Intern Med, 129 (1998), pp. 114-122
[9.]
J.J. Lichauco, S. Lauer, H.H. Shigemitsu, J.A. Bello, P.K. Bhattacharyya, P. Barland, et al.
Orbital mucosa-associated lymphoid tissue (MALT)-type lymphoma in a patient with relapsing polychondritis.
[10.]
J.M. Damiani, H.M. Levine.
Relapsing polychondritis: report of ten cases.
Laryngoscope, 89 (1979), pp. 929-946
[11.]
S.S. Banerjee, D.P. Morris, M.P. Rothera, R.C. Routledge.
Relapsing polychondritis associated with monoclonal gammopathy in a patient with myelodysplastic syndrome.
J Laryngol Otol, 115 (2001), pp. 482-484
[12.]
R. Hall, N. Hopkinson, T. Hamblin.
Relapsing polychondritis, smouldering non-secretory myeloma and early myelodysplastic syndrome in the same patient: three difficult diagnoses produce a life threatening illness.
Leukemia Res, 24 (2000), pp. 91-93
[13.]
N. Salahuddin, B.S. Libman, J.H. Lunde, J. Kay, S.M. Cooper.
The association of relapsing polychondritis and myelodysplastic syndrome. Report of three cases.
J Clin Rheumatol, 6 (2000), pp. 146-149
[14.]
T. Lavabre-Bertrand, M. Navarro.
Relapsing polychondritis and myelodysplastic syndrome.
Am J Haematol, 43 (1993), pp. 243-244
[15.]
M.A. Dimopoulos, G. Merlini, V. Leblond, A. Anagnostopoulos, R. Alexanian.
How we treat Waldenström's macroglobulinemia.
Haematologica, 90 (2005), pp. 117-125
Copyright © 2007. Sociedad Española de Reumatología and Colegio Mexicano de Reumatología
Download PDF
Idiomas
Reumatología Clínica (English Edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?