American Journal of Internal Medicine

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Replasing Polychondritis and Geriatrics: Report of Two Cases

Received: 05 March 2018    Accepted: 02 April 2018    Published: 17 May 2018
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Abstract

We report two cases of geriatric replasing polychondritis [RP] observed in internal medicine; and the problems posed by the therapeutic management of this condition at this phase vulnerable of life. The first case was a70- years old women without antecedents, presents a diffuse and painful and bilateral increase of both ears, and painful red eyes with blurring of vision. The set of disorders evolves in a context of fever and deterioration of the general state and poly arthralgia of mixed schedule.The objective clinical examination finded a deformed ears ‘Cauliflower ear’; and a breath of aortic insufficiency in cardiac auscualtation; and bilateral episcleritis in the tow eyes objective in ophtalmic examination; associated with a biological inflammatory syndrome; the echocardiography objective, the moderate aortic regurgitation.The second case was a67 year old male presented,with a history of pain and swelling of both ears lobes, with recurrent red left eye painless.He has a history of type 2 diabetes and hypertension, clinically he was noted to have a swollen exquisitely tender erythematous upper cartilaginous part of the right pinna with sparing of the earl obule,episcleritis in the left eye in a ophtalmologic examination associated a frank inflammatory syndrome, the echocardiography objective a mild oartic regurgitation.The diagnosis of RP is retained according to the criteria of michet et al in both patients.The 2 patients evolve favorably under corticotherapy instituted at a rate of 1mg / Kg / day.Corticotherapy treatment exposed the patient (case 1) to the appearance of osteoporosis with high risk of fracture and the appearance of controllable hypertension under treatment; and the patient (case 2) at imbalance of his hypertension and diabetes which led us to change his therapeutic arsenal to avoid metabolic and cardiovascular complications. The rarity of the disease and the variability of its clinical spectrum explain the lack of a therapeutic trial controlled and empirical nature of the therapeutic recommendations. Evolution is by pushing successive, whose frequency and severity are extremely variable. Complications Cardiovascular diseases are common and responsible for the death of one out of four patients, which clinician to screen them so as not to delay a sometimes difficult treatment.

DOI 10.11648/j.ajim.20180602.11
Published in American Journal of Internal Medicine (Volume 6, Issue 2, March 2018)
Page(s) 29-33
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Replasing Polychondrotisis, Geriatric, Comorbidities

References
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Author Information
  • Department of Internal Medicine, Faculty of Medicine, Benyoucef Benkhedda University, Algiers, Algeria

  • Department of Internal Medicine, Faculty of Medicine, Benyoucef Benkhedda University, Algiers, Algeria

  • Department of Internal Medicine, Faculty of Medicine, Benyoucef Benkhedda University, Algiers, Algeria

  • Department of Internal Medicine, Faculty of Medicine, Benyoucef Benkhedda University, Algiers, Algeria

  • Department of Internal Medicine, Faculty of Medicine, Benyoucef Benkhedda University, Algiers, Algeria

  • Department of Internal Medicine, Faculty of Medicine, Benyoucef Benkhedda University, Algiers, Algeria

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    Nassima Dekdouk, Djennette Hakem, Lakhder Amine Betaimi, Djamel Eddine Benkali, Taous Hadded, et al. (2018). Replasing Polychondritis and Geriatrics: Report of Two Cases. American Journal of Internal Medicine, 6(2), 29-33. https://doi.org/10.11648/j.ajim.20180602.11

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    ACS Style

    Nassima Dekdouk; Djennette Hakem; Lakhder Amine Betaimi; Djamel Eddine Benkali; Taous Hadded, et al. Replasing Polychondritis and Geriatrics: Report of Two Cases. Am. J. Intern. Med. 2018, 6(2), 29-33. doi: 10.11648/j.ajim.20180602.11

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    AMA Style

    Nassima Dekdouk, Djennette Hakem, Lakhder Amine Betaimi, Djamel Eddine Benkali, Taous Hadded, et al. Replasing Polychondritis and Geriatrics: Report of Two Cases. Am J Intern Med. 2018;6(2):29-33. doi: 10.11648/j.ajim.20180602.11

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  • @article{10.11648/j.ajim.20180602.11,
      author = {Nassima Dekdouk and Djennette Hakem and Lakhder Amine Betaimi and Djamel Eddine Benkali and Taous Hadded and Abdelkrim Berrah},
      title = {Replasing Polychondritis and Geriatrics: Report of Two Cases},
      journal = {American Journal of Internal Medicine},
      volume = {6},
      number = {2},
      pages = {29-33},
      doi = {10.11648/j.ajim.20180602.11},
      url = {https://doi.org/10.11648/j.ajim.20180602.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajim.20180602.11},
      abstract = {We report two cases of geriatric replasing polychondritis [RP] observed in internal medicine; and the problems posed by the therapeutic management of this condition at this phase vulnerable of life. The first case was a70- years old women without antecedents, presents a diffuse and painful and bilateral increase of both ears, and painful red eyes with blurring of vision. The set of disorders evolves in a context of fever and deterioration of the general state and poly arthralgia of mixed schedule.The objective clinical examination finded a deformed ears ‘Cauliflower ear’; and a breath of aortic insufficiency in cardiac auscualtation; and  bilateral episcleritis in the tow eyes objective in ophtalmic examination; associated with a biological inflammatory syndrome; the echocardiography objective, the moderate aortic regurgitation.The second case was a67 year old male presented,with a history of pain and swelling of both ears lobes, with recurrent red left eye painless.He has a history of type 2 diabetes and hypertension, clinically he was noted to have a swollen exquisitely tender erythematous upper cartilaginous part of the right pinna with sparing of the earl obule,episcleritis in the left eye in a ophtalmologic examination associated a frank inflammatory syndrome, the echocardiography objective a mild oartic regurgitation.The diagnosis of RP is retained according to the criteria of michet et al in both patients.The 2 patients evolve favorably under corticotherapy instituted at a rate of 1mg / Kg / day.Corticotherapy treatment exposed the patient (case 1) to the appearance of osteoporosis with high risk of fracture and the appearance of controllable hypertension under treatment; and the patient (case 2) at imbalance of his hypertension and diabetes which led us to change his therapeutic arsenal to avoid metabolic and cardiovascular complications. The rarity of the disease and the variability of its clinical spectrum explain the lack of a therapeutic trial controlled and empirical nature of the therapeutic recommendations. Evolution is by pushing successive, whose frequency and severity are extremely variable. Complications Cardiovascular diseases are common and responsible for the death of one out of four patients, which clinician to screen them so as not to delay a sometimes difficult treatment.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Replasing Polychondritis and Geriatrics: Report of Two Cases
    AU  - Nassima Dekdouk
    AU  - Djennette Hakem
    AU  - Lakhder Amine Betaimi
    AU  - Djamel Eddine Benkali
    AU  - Taous Hadded
    AU  - Abdelkrim Berrah
    Y1  - 2018/05/17
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ajim.20180602.11
    DO  - 10.11648/j.ajim.20180602.11
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 29
    EP  - 33
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20180602.11
    AB  - We report two cases of geriatric replasing polychondritis [RP] observed in internal medicine; and the problems posed by the therapeutic management of this condition at this phase vulnerable of life. The first case was a70- years old women without antecedents, presents a diffuse and painful and bilateral increase of both ears, and painful red eyes with blurring of vision. The set of disorders evolves in a context of fever and deterioration of the general state and poly arthralgia of mixed schedule.The objective clinical examination finded a deformed ears ‘Cauliflower ear’; and a breath of aortic insufficiency in cardiac auscualtation; and  bilateral episcleritis in the tow eyes objective in ophtalmic examination; associated with a biological inflammatory syndrome; the echocardiography objective, the moderate aortic regurgitation.The second case was a67 year old male presented,with a history of pain and swelling of both ears lobes, with recurrent red left eye painless.He has a history of type 2 diabetes and hypertension, clinically he was noted to have a swollen exquisitely tender erythematous upper cartilaginous part of the right pinna with sparing of the earl obule,episcleritis in the left eye in a ophtalmologic examination associated a frank inflammatory syndrome, the echocardiography objective a mild oartic regurgitation.The diagnosis of RP is retained according to the criteria of michet et al in both patients.The 2 patients evolve favorably under corticotherapy instituted at a rate of 1mg / Kg / day.Corticotherapy treatment exposed the patient (case 1) to the appearance of osteoporosis with high risk of fracture and the appearance of controllable hypertension under treatment; and the patient (case 2) at imbalance of his hypertension and diabetes which led us to change his therapeutic arsenal to avoid metabolic and cardiovascular complications. The rarity of the disease and the variability of its clinical spectrum explain the lack of a therapeutic trial controlled and empirical nature of the therapeutic recommendations. Evolution is by pushing successive, whose frequency and severity are extremely variable. Complications Cardiovascular diseases are common and responsible for the death of one out of four patients, which clinician to screen them so as not to delay a sometimes difficult treatment.
    VL  - 6
    IS  - 2
    ER  - 

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