Article Text
Summary
We report a young female who presented with saddle-nose and bilateral cauliflower ear deformities along with pyoderma gangrenosum-like ulcers, digital gangrene and pulselessness. Subsequently, she was found to have bilateral conductive hearing loss, a corneal opacity, mild aortic regurgitation and radiological evidence of cavitary changes in lungs and aortoarteritis. Our patient had a constellation of symptoms which posed a diagnostic challenge. Finally, a diagnosis of relapsing polychondritis with several unusual features was made. Overlap with Takayasu’s arteritis and granulomatosis with polyangitis, which has been reported rarely in the literature, cannot be excluded.
- dermatology
- ear, nose and throat/otolaryngology
- rheumatology
- vasculitis
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Footnotes
Contributors SS: resident in charge of case and preparation of manuscript. VG: resident in charge of case and editing of manuscript. AC: preparation of manuscript and expert radiological opinion. KKV: editing of manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.