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Revista Cubana de Reumatología

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2020, Number 2

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Rev Cub de Reu 2020; 22 (2)

Acute myeloid leukemya and relapsing polychondritis. Chance or causal relationship?

Porras BCO, Berdugo PEM, Santamaría AY
Full text How to cite this article

Language: Spanish
References: 10
Page: 1-10
PDF size: 372.68 Kb.


Key words:

polychondritis, relapsing, leukemia, myeloid, acute, erythema nodosum, ear cartilage.

ABSTRACT

Introduction: Relapsing polychondritis is a systemic, chronic and autoimmune disease characterized by the inflammation of cartilaginous tissues. This disease is associated in a few cases with malignant hematological diseases. We present a case of a patient with relapsing polychondritis and concomitantly with acute myeloid leukemia.
Case presentation: A 26-year-old female patient, with cutaneous affection as initial manifestation categorized as erythema nodosum. Then she was diagnosed with acute myeloid leukemia. In the aplasia post-chemotherapy phase, the patient developed bilateral inflammation of the ear cartilage (auricular chondritis) and a vertiginous syndrome with satisfactory clinical evolution to immunosuppressive treatment with glucocorticoids.
Conclusion: Relapsing polychondritis usually presents with cartilaginous involvement, such as bilateral atrial chondritis, as shown in the case. Early diagnosis and timely treatment are necessary to achieve a good clinical response. Subsequent studies are necessary to evaluate the association between relapsing polychondritis and hematological alterations such as acute myeloid leukemia and the use of chemotherapy.


REFERENCES

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  2. Vitale A, Sota J, Rigante D, Lopalco G, Molinaro F, Messina M, et al. Relapsing Polychondritis: an Update on Pathogenesis, Clinical Features, Diagnostic Tools, and Therapeutic Perspectives. Curr Rheumatol Rep. 2016 [Acceso 25/01/2018];18(1):3. Disponible en:https://link.springer.com/article/10.1007%2Fs11926-015-0549-5

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  9. Report C, Erden A, Bilgin E, Kalyoncu U. Remission of relapsing polychondritis after successful treatment of myelodysplastic syndrome with azacitidine: a case and review of the literature Case presentation. Drug Metab Pers Ther. 2018 [Acceso 25/01/2018];33:1-4. Disponible en: https://www.degruyter.com/view/j/dmdi.2018.33.issue-2/dmpt-2018-0002/dmpt-2018-0002.xml

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