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Red-eared zebra diagnosis

Case of relapsing polychondritis

Karen K. Leung and Shakibeh Edani
Canadian Family Physician May 2018; 64 (5) 363-367;
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  • Published on: (31 May 2018)
    Page navigation anchor for RE: Relapsing polychondritis
    RE: Relapsing polychondritis
    • Christopher Lam, Family Physician, Clinical Associate Professor, Dept. of Family Practice, UBC. Affiliate: University of Victoria

    The article by K.K. Leung and S. Shakibeh, Red-eared zebra diagnosis, Can Fam Physician 2018;64:363-7 reminded me of a 63 year-old lady I saw in 1995. After seeing no response to IV antibiotics for presumed cellulitis, and consulting an internist, I looked up 'chondritis' on the internet and came up with 'relapsing polychondritis'. The significant erythema and swelling the pinna with clear sparing of the lobule alerted me to focus on the cartilage.
    Her response to prednisone 40mg was dramatic. She continued to improve and the prednisone was gradually tapered off.

    Competing Interests: None declared.
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Red-eared zebra diagnosis
Karen K. Leung, Shakibeh Edani
Canadian Family Physician May 2018, 64 (5) 363-367;
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