title: [Reversible cognitive decline in a patient with relapsing polychondritis].
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.
authors.affiliation: Klinisch geriater, Groene Hart Ziekenhuis, Gouda. sj.swen@zonnet.nl
authors.forename: S J
authors.initials: SJ
authors.lastname: Swen
authors.forename: D J H
authors.initials: DJ
authors.lastname: Leonards
authors.forename: W A A
authors.initials: WA
authors.lastname: Swen
authors.forename: J F M
authors.initials: JF
authors.lastname: de Jonghe
authors.forename: K J
authors.initials: KJ
authors.lastname: Kalisvaarte
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D057565:Apathy; D003704:Dementia / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D007249:Inflammation / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D011081:Polychondritis, Relapsing / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D011241:Prednisone / Q000627:therapeutic use; D016896:Treatment Outcome; D020293:Vasculitis, Central Nervous System / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000893:Anti-Inflammatory Agents; D011241:Prednisone