Equilibrium Research
Online ISSN : 1882-577X
Print ISSN : 0385-5716
ISSN-L : 0385-5716
原著
聴平衡覚障害をきたした再発性多発軟骨炎の2症例
金谷 佳織岩崎 真一牛尾 宗貴伊藤 彰紀水野 正浩室伏 利久
著者情報
ジャーナル フリー

2008 年 67 巻 4 号 p. 286-293

詳細
抄録

Relapsing polychondritis (RP) is a multi-systemic inflammatory autoimmune disease that affects components of cartilage such as collagens and mucopolysaccharide. The most common findings of RP are auricular and nasal chondritis, whereas audiovestibular disorders are rarely noticed at first. We report two cases with relapsing polychondritis who first complained of audiovestibular symptoms. The first patient was a 19-year-old man, who suffered from repeated dizziness, vertigo and bilateral sensorineural hearing loss. One year later, he also had dyspnea caused by chondritis of the respiratory tract and otitis media with effusion. Results of a caloric test and vestibular evoked myogenic potential (VEMP) to clicks showed no response on either side, whereas VEMP to galvanic stimulation showed normal response on both sides. The second patient was a 58-year-old man with repeated vertigo and dizziness. He also had progressive bilateral severe sensorineural hearing impairment. Although he had undergone intravenous steroid therapy, his hearing did not recover. The results of neuro-otological examinations of our patients suggested that recurrent vertigo and dizziness in the patient with RP were mainly of labyrinthine origin.

著者関連情報
© 2008 一般社団法人 日本めまい平衡医学会
前の記事 次の記事
feedback
Top