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Korean Journal of Anesthesiology 1999;36(6):1087-1090.
DOI: https://doi.org/10.4097/kjae.1999.36.6.1087   
Relapsing Polychondritis Diagnosed after Stellate Ganglion Block: A case report.
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.
Abstract
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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