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  • Title: [Reversible cognitive decline in a patient with relapsing polychondritis].
    Author: Swen SJ, Leonards DJ, Swen WA, de Jonghe JF, Kalisvaarte KJ.
    Journal: Tijdschr Gerontol Geriatr; 2009 Oct; 40(5):203-7. PubMed ID: 21140956.
    Abstract:
    Patient A, 58 years, is referred by the Rheumatologist to the Geriatrician concerning apathy. History reviews skipping arthritis, reddened and inflamed eyes, apathy and loss of interest. Physical examination revealed red tearing eyes, bradyphrenia and bradykinesia. Laboratory examination showed inflammation markers. The patient develops fever and bilateral reddened and inflamed ears. Diagnosis of relapsing polychondritis is made, the patient is treated with prednisone and the symptoms disappear. Relapsing polychondritis is a chronical disease associated with inflammation and destruction of cartilaginous structures and proteoglycan rich structures. We diagnosed Relapsing Polychondritis with a reversible dementia, probably due to cerebral vasculitis.
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