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Relapsing "encephalo" polychondritis

¹ Senior House Officer in Neurology, Academic Department of Clinical Neurosciences, Medical School, Royal Free Hospital, London, UK
² Senior House Officer in Rheumatology, Nuffield Orthopaedic Centre, Oxford, UK
³ Consultant Rheumatologist, Rheumatology Department, Royal Free Hospital, London, UK
⁴ Consultant Neurologist, Academic Department of Clinical Neurosciences, Medical School, Royal Free Hospital, London, UK

Correspondence to:
Correspondence to:
Dr S R Irani, Academic Department of Clinical Neurosciences, Upper Third Floor, Medical School, Royal Free Hospital, London, UK;
saroshirani@doctors.net.uk

The first 150 words of the full text of this article appear below.

Inflammed auricular cartilage in relapsing polychondritis.

We were referred a 65 year old right-handed Cypriot gentleman who had presented with subacute onset of confusion. Two months beforehand he had been managing his shop and accounts independently. Two years previously he had developed bifrontal, dull headaches, associated with fever and swelling of the small joints in his hand, which all resolved over some weeks. Six months later he then experienced myalgia and finger arthralgia lasting for two weeks, again resolving spontaneously. Twelve months after that he complained of painful, reddened, tender, and swollen ears that worsened gradually over weeks. At the same time there was redness and pain of both eyes with no visual impairment. Over this period, he lost 14 lb in weight and developed a persistent fever. These recent symptoms had only partially settled when he developed fluctuating headache, confusion, and deterioration in gait worsening over four weeks. The . . . [Full text of this article]