| Relapsing Polychondritis Diagnosed after Stellate Ganglion Block: A case report. |
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Seong Wook Jeong, Suk Hee Hong, Sang Hyun Kwak, Sung Su Chung, Chang Young Jeong, Woong Mo Im |
1Department of Anesthesiology, Chonnam University Medical School, Korea.
2College of Dentistry, Kwangju, Korea. |
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| Abstract |
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Relapsing polychondritis (RP) is an uncommon disorder of unknown etiology characterized by inflammation and destruction of the cartilaginous structures of many organs, including the tracheobronchial tree. We experienced a rare case of RP diagnosed after stellate ganglion block. A 56-year-old female has been treated under impression of rheumatoid arthritis and bronchial asthma for several years, but her symptoms were not markedly relieved. We performed right stellate ganglion block with 8 mL of 1% mepivacaine for the relief of the right shoulder pain. About 5 minutes later, she complained severe dyspnea and became cyanotic.
Bronchoscopic finding was diffuse bronchoconstriction during expiration. We confirmed the diagnosis of relapsing polychondritis by bronchoscopic biopsy finding.
Unfortunately, she died 3 months later due to recurrent pneumonia and acute respiratory distress syndrome. |
| Key Words:
Airway, obstruction, relapsing polychondritis; Sympathetic nervous system, stellate ganglion block |
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