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November 1972

The Resident's Page

Author Affiliations

1721 Pine St, Philadelphia 19103; The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1972;96(5):486-489. doi:10.1001/archotol.1972.00770090718018

PATHOLOGIC QUIZ CASE  Robert M. Komorn, MD, HoustonA 66-year-old woman was seen because of persistent wheezing after adequate treatment for cardiac failure. Her trouble had begun 18 months previously when she noted the onset of progressive hearing loss, recurrent nasal infections, bilateral recurrent external otitis, and inflammation of the left pinna.Physical examination revealed a chronically ill patient with an obvious saddle deformity of the nose (Fig 1), crusting and inflammation of the nasal and septal mucosa, and erythema and swelling of the left pinna (Fig 2). Narrowing of the subglottic larynx was seen with indirect laryngoscopy and documented by tomograms (Fig 3). A biopsy of the left auricular cartilage (Fig 4 and 5) confirmed the clinical impression. Cardiac failure was never documented.


Clinical and Pathological Diagnosis 

PATHOLOGIC QUIZ CASE  Pathological Diagnosis.—Degenerating cartilage compatible with relapsing polychondritis.The clinical diagnosis for this patient was relapsing

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