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复发性多软骨炎是一种少见的疾病,病因不明。其特点是软骨炎症和随之而发生的软骨溶解。主要损害耳、鼻、咽、喉,眼球和全身软骨;若累及喉、气管常可导致呼吸困难。迄今国内共报导12例,具有眼部症状者7例均较轻。我科收治一例眼部表现为双眼角、巩膜炎,角膜变薄,视力仅存数指。洪某某,男性,26岁。住院号81884。于1978年开始鼻根部红、肿、痛,数月后两眼红痛伴视力减退,两年后两耳红肿。曾在他院诊治因未能坚持服药致病情反复。1983年9月29日因左眼被他人木棍碰伤而急诊入院。检查:胸廓及全身关节无畸形,心肺(-)。鞍鼻;两耳廓暗红色充血肥厚变形,左侧压痛(+)。
Recurrent polychondritis is a rare disease, the etiology is unknown. It is characterized by cartilage inflammation and subsequent cartilage lysis. The main damage to the ear, nose, pharynx, larynx, eyeballs and body cartilage; if the throat involved, the trachea can often lead to breathing difficulties. So far a total of 12 cases reported in the country, with ocular symptoms in 7 cases were lighter. Our department treated one case of ocular manifestations of the eyes, scleritis, corneal thinning, visual acuity only means the number of fingers. Hong Moumou, male, 26 years old. Hospital number 81884. In 1978, nasal root red, swollen, painful, a few months later, both eyes pain with visual acuity decreased, two years after the ear swelling. In his hospital for treatment failed to adhere to medication caused by repeated illness. September 29, 1983 due to the left eye was bruised by others and emergency admission to the hospital. Check: no abnormal thorax and systemic joints, cardiopulmonary (-). Saddle nose; both ears dark red hypertrophy hypertrophy, left tenderness (+).