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Epididymo-orchitis as a presenting feature of relapsing polychondritis: a case report
Kuljeet Bhamra1, Rachel Weerasinghe, Alan Steuer
1Department of Rheumatology, Heatherwood and Wexham Park Hospitals NHS Foundation Trust, Slough, Berkshire SL2 4HL, UK.
Abstract:
Relapsing polychondritis (RP) is a rare multisystem disease. It is characterized by recurrent inflammation of cartilaginous structures including the ears, nose, tracheo-bronchial tree and peripheral joints. Proteoglycan-rich structures such as the heart, eyes and blood vessels can also be affected. Systemic symptoms including fever, weight loss and lethargy are common. RP is difficult to diagnose as it presents in a wide variety of ways and there is no diagnostic test. Corticosteroids are the mainstay of treatment but other immunosuppressive drugs can be used in combination with steroids. We present an unusual presentation of RP.
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