Volume 32 Number 1 (2023)

A 60-year-old Man Presented with Relapsing Polychondritis with Haemophagocytic Lymphohistiocytosis

Ahmedullah AK1 , Hasan MM2 , Amin MZ3 , Hasan MN4 , Rahman MA5 , Islam MN6

Mymensingh Med J 2023 Jan; 32 (1): 261-264

PMID: 36594331

Abstract

Relapsing polychondritis is a rare autoimmune disorder of unknown etiology, which can affect multiple organs. It usually presents with involvement of elastic cartilage of ear and nose and involvement of other organs like kidney and central nervous system. Here, we report a case of 60-year-old man, who initially presented with fever, polyarthritis, erythema nodosum and painful swelling and redness of both external ears admitted in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh on 13th December 2019. Two days after hospitalization, he developed sudden onset of proptosis with ophthalmoplegia. After evaluation, he was diagnosed as relapsing polychondritis with haemophagocytic lymphohistiocytosis and was treated with high dose prednisolone. His clinical condition and laboratory parameters significantly improved after treating with prednisolone during follow up.

Keywords: Polychondritis, Relapsing Polychondritis, Haemophagocytic, Lymphohistiocytosis


  1. Associate Professor

    Department of Rheumatology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh

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Volume 32, Number 1 (2023)
Page: 261-264