title: A case of Vogt-Koyanagi-Harada disease that developed relapsing polychondritis.
abstract: We report the case of a 56-year-old Japanese man with Vogt-Koyanagi-Harada disease in whom pain and diffuse swelling of the left auricle and bilateral episcleritis developed 3 years after diagnosis. Biopsy of the left ear showed acute chondritis, leading to another diagnosis of relapsing polychondritis. Additionally, he was found to carry human leukocyte antigen DR4, which has been reported to be associated with these inflammatory conditions. To our knowledge, our patient is the first reported case of the occurrence of relapsing polychondritis and Vogt-Koyanagi-Harada disease.
authors.affiliation: Division of Nephrology and Rheumatology, Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki, 701-0192, Japan.
authors.forename: Takeo
authors.initials: T
authors.lastname: Sakuta
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Morita
authors.forename: Joe
authors.initials: J
authors.lastname: Sakai
authors.forename: Atsunori
authors.initials: A
authors.lastname: Kuwabara
authors.forename: Norio
authors.initials: N
authors.lastname: Komai
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Fukushima
authors.forename: Tamaki
authors.initials: T
authors.lastname: Sasaki
authors.forename: Akio
authors.initials: A
authors.lastname: Tabuchi
authors.forename: Naoki
authors.initials: N
authors.lastname: Kashihara