The development of trigeminal neuralgia related to auricular chondritis in a patient with rheumatoid arthritis - relapsing polychondritis and its treatment with etanercept. Description of the first case
Küçük Resim Yok
Tarih
2009
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Clinical & Exper Rheumatology
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Cranial neuropathy is an uncommon manifestation of relapsing polychondritis (RPC). Optic neuropathy is the most common type of cranial nerve involvement in RPC. Until now, trigeminal neuralgia (TN) has been reported with different rheumatic diseases, however; there is no reported case of TN associated with RPC. We here present a case of RPC with TN. A 57 year-old female patient previously diagnosed with rheumatoid arthritis (RA) and RPC presented its with polyarthritis, auricular and nasal chondritis, and TN. Cranial MRI and MRI angiography of the brain did not show any pathology. The patient partially responded to RA therapy; and carbamazepine and etanercept were administered. RA-related Joint findings, her chondritis and TN symptoms improved completely with etanercept. We presume that the TN was caused by compression of the trigeminal nerve from inflammation or ischemia secondary to vasculitis.
Açıklama
Anahtar Kelimeler
Relapsing Polychondritis, Trigenimal Neuralgia, TNF-Blockers, Rheumatoid Arthritis, Optic Neuropathy, Infliximab
Kaynak
Clinical And Experimental Rheumatology
WoS Q Değeri
Q3
Scopus Q Değeri
Cilt
27
Sayı
1
