2020, Number 2
Acute myeloid leukemya and relapsing polychondritis. Chance or causal relationship?
Language: Spanish
References: 10
Page: 1-10
PDF size: 372.68 Kb.
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
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
Rednic S, Damian L, Talarico R, Scirè CA, Tobias A, Costedoat-Chalumeau N, et al. Relapsing polychondritis: state of the art on clinical practice guidelines. Rheum y Musculoskelet Dis Open. 2018 [Acceso 25/01/2018];4:1-8. Disponible en: https://rmdopen.bmj.com/content/rmdopen/4/Suppl_1/e000788.full.pdf
Tronquoy A, Quatrebarbes J De, Picard D, Courville P, Joly P. Papular and annular fixed urticarial eruption: A characteristic skin manifestation in patients with relapsing polychondritis. J Am Dermatology. 2011 [Acceso 25/01/2018];65(6):1161-6. Disponible en: http://dx.doi.org/10.1016/j.jaad.2010.09.007
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