Relapsing Polychondritis in a Nine-Year-Old Child Presenting with Subglottic Stenosis

Pediatr Allergy Immunol Pulmonol. 2012 Mar;25(1):38-40. doi: 10.1089/ped.2011.0129. Epub 2012 Jan 25.

Abstract

Relapsing polychondritis (RP) is a rare multisystem disorder characterized by inflammation and destruction of cartilaginous tissue. Atypical initial symptoms and signs may cause difficulties in the diagnosis of RP for pediatricians. In this article, we report a 9-year-old male who presented with stridor and hoarseness indicating upper respiratory tract involvement in the setting of chronic polyarthralgia. Flexible bronchoscopy revealed subglottic stenosis. Increasing awareness of early respiratory manifestations of RP will prevent life-threatening complications.