CT诊断复发性多软骨炎合并气道受累1例

CT diagnosis of recurrent polychondritis complicated with airway involvem ent:a case report

复发性多软骨炎是一类罕见的自身免疫性疾病,病因不明。其主要累及软骨及结缔组织,包括耳廓、鼻、喉、气管及其分支等部位的软骨。该病可反复发作,临床表现多样,常发生漏诊误诊。下文报道了1例复发性多软骨炎合并气道受累患者,其多次被误诊为慢性支气管炎,辗转多家医院治疗无效,后经山东中医药大学附属医院临床查体、实验室检查及CT成像确诊,治疗后其症状缓解。通过分析该病例的诊疗过程提示,在影像检查中当CT三维重建时发现气道狭窄、管壁增厚时要高度怀疑该病,同时还需结合患者的临床表现、实验室检查结果等进行综合诊断,防止漏诊误诊的发生。

Relapsing polychondritis is a rare autoimmune disease with unk nown etiology.It mainly involves cartilage and connective tissue,including the cartilage of the auricle,nose,throat,trachea and its branches.The disease can be recurrent,clinical manifestations are diverse,often missed diagnosis and misdiagnosis.A case of recurrent polychondritis complicated with airway involvement was reported below.The patient was misdiagnosed as chronic bronchitis for many times and failed to be treated in many hospitals.The patient was confirmed by clinical physical examination,laboratory examination and CT imaging in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.By analyz ing the diagnosis and treatment process of this case,it is suggested that the dis ease should be highly suspected when airway stenosis and wall thickening are found in CT three-dimensional reconstruction during imaging examination.At the same time,comprehensive diagnosis should be made based on clinical manifestations and laboratory results of the patient to prevent missed diagnosis and misdiagnosis.