Relapsing polychondritis

Clinical Features:

  • A chronic relapsing inflammatory disease most often involving the ears and nose
  • Associated with polyarthritis, ocular inflammation and chondritis of the respiratory tract and cardiac valves
  • Mortality rate as high as 25 percent

Histologic Features:

  • Mixed inflammatory infiltrate consisting of lymphocytes, neutrophils and plasma cells in the dermis adjacent to deep subcutaneous cartilage
  • Vacuolization and pyknosis of chondrocytes with eventual decrease in the basophilia of the cartilage
  • Destruction of elastic fibers within the cartilage is seen on elastic stain.
  • Old lesions show replacement of chondrocytes with fibrous tissue.

Cases associated with this book:

  • Relapsing polychondritis
    Author: Stephen Lyle, M.D., Ph.D.

    Conference: DermatopathologyConsultations.com Teaching Collection