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인격변화 및 인지장애로 발현된 재발성 다발연골염 1례

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Author(s)
이지민이소연박명순이예연김지민김상현손창남
Publication Year
2016
Keyword
Cognitive impairmentLeptomeningeal meningitisPersonality changesRelapsing polychondritis
Abstract
Relapsing polychondritis is a rare, multisystem autoimmune disease. It is characterized by recurrent inflammation of the cartilage and connective tissues in the body. In this paper, we described a case of relapsing polychondritis initially presented symptoms of cognitive dysfunction and personality changes. A 63-year-old male reprented fever, cognitive impairment and personality changes. Brain magnetic resonance imaging revealed leptomeningeal and periauricular hyperintensities. A cerebrospinal fluid examination showed aseptic meningitis. As he reprented hearing difficulties, audiometry showed the sensory neural hearing loss. On physical examination, erythematous swollen auricles were noted. Auricle biopsy consisted with inflammation with perichondritis. He was diagnosed with relapsing polychondritis accompanied by leptomeningeal meningitis, and treated with methylprednisolone (62.5 mg/day for 3 days) followed by prednisolone 60 mg/day and methotrexate 7.5 mg/week. Fever and painful swellings on the both ears subsided. He showed improvement in cognitive function and personality. Although relapsing polychondritis is rare, it should be considered to be a possible cause of leptomeningeal meningitis.
Alternative Title
Relapsing Polychondritis Showing Personality Changes and Cognitive Impairment
Department
Dept. of Internal Medicine (내과학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.35(2) : 133-139, 2016
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15712
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