title: Polychondritis presenting with oculomotor and abducens nerve palsies as the initial manifestation.
abstract: We treated a patient with relapsing polychondritis (RP) who presented with intermittent oculomotor and abducens nerve palsies as the first manifestation. Ear swelling and laryngeal edema emerged 7 months later, which led us to diagnose him with RP. Moderate doses of glucocorticoid resolved all symptoms. Our experience with RP accompanied by oculomotor nerve palsy suggests that RP should be considered in patients with cranial nerve palsies so that they may be promptly diagnosed and treated.
authors.affiliation: a Division of Rheumatology, Department of Internal Medicine , Keio University School of Medicine , Tokyo , Japan.
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Akiyama
authors.affiliation: a Division of Rheumatology, Department of Internal Medicine , Keio University School of Medicine , Tokyo , Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kaneko
authors.affiliation: a Division of Rheumatology, Department of Internal Medicine , Keio University School of Medicine , Tokyo , Japan.
authors.forename: Hironari
authors.initials: H
authors.lastname: Hanaoka
authors.affiliation: a Division of Rheumatology, Department of Internal Medicine , Keio University School of Medicine , Tokyo , Japan.
authors.forename: Masataka
authors.initials: M
authors.lastname: Kuwana
authors.affiliation: a Division of Rheumatology, Department of Internal Medicine , Keio University School of Medicine , Tokyo , Japan.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Takeuchi
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology*; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000209:etiology*; D011081:Polychondritis, Relapsing / Q000150:complications*
keywords: Abducens nerve palsy; Cranial nerve palsy; Extraocular muscle palsy; Oculomotor nerve palsy; Relapsing polychondritis