Case Number : Case 1483- 01 March Posted By: Guest

?Relapsing polychondritis.

Yes...something like..I was thinking of a auricular chondritis caused by a piercing...there is a granulation tissue like with a zonal pattern, as if it was started from the cartilage

Yes, looks like mixed inflammation/granulation tissue like picture, probably in keeping with (relapsing) polychondritis. Was this patient on TNF alpha inhibitors for the psoriasis? The latter can cause relapsing polychondritis.

Relapsing polycondritis-like ear disease. Some lesions associated with Psoriasis do not fulfill the clinical criteria for relapsing polycondritis, that´s the reason some authors prefere the term above. This is also more associated with patients who presents with psoriatic arthritis.

http://www.jaad.org/article/S0190-9622(09)02290-7/pdf

Yes i was about to quote the same article. Should consider that diagnosis but CPC and follow-up of the patient is important as this could be the first manifestation of an evolving relapsing polycondritis

Agree with relapsing polychndritis 

Agree with Raul as CPC is required.

90% have involvement of auricular cartilage, mostly bilateral presenting with erythema and tenderness.

Ear lobes are usually spared.

Clinical diagnosis requires 3 of following:

1- Reccurrent chondritis of both auricles

2- None erosive inflammatory artheritis

3- Chondritis of nasal cartilage

4- Ocular inflammation such as conjunctivitis,keratitis,sceleritis,episceleritis or uveitis

5-chondritis of upper respiratory tract involving layrnx or tracheal cartilage

6-Cochlear or vestibular damage with sensoneural hearing loss,tinitus or vertigo

Agree with relapsing polychondritis.