Relapsing Polychondritis Diagnosed after Stellate Ganglion Block: A case report.
10.4097/kjae.1999.36.6.1087
- Author:
Seong Wook JEONG
1
;
Suk Hee HONG
;
Sang Hyun KWAK
;
Sung Su CHUNG
;
Chang Young JEONG
;
Woong Mo IM
Author Information
1. Department of Anesthesiology, Chonnam University Medical School, Korea.
- Publication Type:Case Report
- Keywords:
Airway, obstruction, relapsing polychondritis;
Sympathetic nervous system, stellate ganglion block
- MeSH:
Arthritis, Rheumatoid;
Asthma;
Biopsy;
Bronchoconstriction;
Diagnosis;
Dyspnea;
Female;
Humans;
Inflammation;
Mepivacaine;
Middle Aged;
Pneumonia;
Polychondritis, Relapsing*;
Respiratory Distress Syndrome, Adult;
Shoulder Pain;
Stellate Ganglion*
- From:Korean Journal of Anesthesiology
1999;36(6):1087-1090
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Relapsing polychondritis (RP) is an uncommon disorder of unknown etiology characterized by inflammation and destruction of the cartilaginous structures of many organs, including the tracheobronchial tree. We experienced a rare case of RP diagnosed after stellate ganglion block. A 56-year-old female has been treated under impression of rheumatoid arthritis and bronchial asthma for several years, but her symptoms were not markedly relieved. We performed right stellate ganglion block with 8 mL of 1% mepivacaine for the relief of the right shoulder pain. About 5 minutes later, she complained severe dyspnea and became cyanotic. Bronchoscopic finding was diffuse bronchoconstriction during expiration. We confirmed the diagnosis of relapsing polychondritis by bronchoscopic biopsy finding. Unfortunately, she died 3 months later due to recurrent pneumonia and acute respiratory distress syndrome.
