Korean J Med > Volume 76(5); 2009 > Article
The Korean Journal of Medicine 2009;76(5):632-636.
A case of relapsing polychondritis and pyoderma gangrenosum in a patient with Down’s syndrome
Yong Duck Cho, Yeon-Ah Lee, Ji Na Park, Sang-Hoon Lee, Hyung-In Yang, Seung-Jae Hong
다운증후군 환자에서 병발한 재발성 다발연골염과 괴저성 농피증 1예
조용덕, 이연아, 박지나, 이상훈, 양형인, 홍승재
Abstract
Relapsing polychondritis (RP) is a rare multisystem disorder of unknown etiology that affects cartilaginous tissues, such as the auricular, nasal, and laryngotracheal cartilages. It may be accompanied by a wide spectrum of skin lesions, including erythema nodosum, erythema multiforme, and panniculitis. Pyoderma gangrenosum is a rare chronic cutaneous disease that usually presents as a painful nodule or pustule and progressively forms an enlarging ulcer. It may be associated with inflammatory bowel disease, rheumatoid arthritis, systemic lupus erythromatosus, leukemia, and myeloproliferative disorders. Pyoderma gangrenosum is rarely associated with RP. RP and pyoderma gangrenosum have been reported in a patient with myelodysplastic syndrome (MDS), and the appearance of skin lesions in MDS may herald its progression to acute myeloid leukemia. Here, we report the first case of RP coexisting with pyoderma gangrenosum in a patient with Down’s syndrome.
Key Words: Relapsing polychondritis; Pyoderma gangrenosum; Down’s syndrome


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