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2.1
Chondritis of the External Ear
Chondritis of External Ear Unspecified Ear

Presentation

Infections such as chronic otitis externa may result in a similar presentation. Osteoma (external ear canal) Osteoma typically presents as a single, large pedunculated growth near the lateral end of the bony portion of the external auditory canal. [helpmehear.ca]

26% of cases Joints Arthritis/arthropathy 81 Presenting sign in 23% of cases Nose Saddle nose, septal swelling 72 Presenting sign in 13% of cases Eye Episcleritis, iritis, conjunctivitis, keratitis 65 ... [emedicine.medscape.com]

The myriad of presenting symptoms and episodic nature may result in a significant delay in diagnosis. [academic.oup.com]

Patients often have cartilage-specific antibodies present during acute relapsing polychondritis episodes. [en.wikipedia.org]

Entire Body System

  • Relapsing Polychondritis

    Relapsing polychondritis. Best Pract Res Clin Rheumatol. 2004;18(5):723-38. Richez C, Dumoulin C, Coutouly X, Schaeverbeke T. Successful treatment of relapsing polychondritis with infliximab. Clin Exp Rheumatol. 2004;22(5):629-31. [malattierare.regione.veneto.it]

    Relapsing Polychondritis Definition Relapsing polychondritis is a disease characterized by autoimmune-like episodic or progressive inflammation of cartilage and other connective tissue, such as the nose, ears, throat, joints, kidneys, and heart. [medical-dictionary.thefreedictionary.com]

    The following table shows the history of the nomenclature of Relapsing polychondritis. [en.wikipedia.org]

    References 1 Relapsing polychondritis, Curr Opin Rheumatol, 2003, vol. 16 (pg. 56 - 61 ) 2 Otologic manifestations of relapsing polychondritis: review of literature and report of nine cases, Auris Nasus Larynx, 2006, vol. 33 (pg. 135 - 41 ) © The Author [academic.oup.com]

    This condition should be differentiated from relapsing polychondritis. Relapsing polychondritis is associated with systemic effects like fever. [sites.google.com]

  • Anemia

    Associated diseases include rheumatoid arthritis, systemic lupus erythematosus, myasthenia gravis, Hashimoto thyroiditis, pernicious anemia, Sjögren syndrome, and ulcerative colitis. [emedicine.medscape.com]

    Autoimmune diseases Systemic lupus erythematosus, [5] [15] Systemic scleroderma, [5] Mixed connective tissue disease, [5] [15] Autoimmune thyroiditis, [5] Sjögren's syndrome, [5] Dermatomyositis, [5] Antiphospholipid syndrome, [5] Autoimmune hemolytic anemia [en.wikipedia.org]

Respiratoric

  • Hoarseness

    Consequences include floppy ears, collapsed nose, hearing loss, or hoarseness and airway obstruction because of laryngeal and tracheal cartilage involvement. [medical-dictionary.thefreedictionary.com]

    The most common sites are the base of the tongue, tonsillar fossa, and hypopharynx. 4 Risk factors for head and neck tumors include tobacco or alcohol use, dysphagia, weight loss, radiation exposure, hoarseness, and age older than 50 years. 24 Neuralgias [aafp.org]

    瘻孔 fistula symptom瘻孔症状 floor of mouth口腔底 foreign body異物 frontal sinus前頭洞 g gaze nystagmus注視眼振 geographic tongue地図状舌 gingiva歯肉 gingivitis歯肉炎 glossitis舌炎 glottis舌 h hairy tongue毛状舌 harelip兎唇 hearing impairment聴覚障害 herpes zoster oticus耳帯状疱疹 〈= Hunt症候群〉 hoarseness [tokyo-med.ac.jp]

    […] the laryngotracheobronchial cartilages may be severe and life-threatening; it causes one-third of all deaths among persons with RP. [3] [5] Laryngeal chondritis is manifested as pain above the thyroid gland and, more importantly, as dysphonia with a hoarse [en.wikipedia.org]

  • Saddle Nose

    The nose is often afflicted as well and can deteriorate into a flattened nose bridge called saddle nose. Inflammation of the eye occurs less frequently, but can lead to blindness. [medical-dictionary.thefreedictionary.com]

    Nose cartilage involvement/saddle nose Granulomatosis with polyangiitis, leishmaniasis, congenital syphilis, leprosy aspergillosis, paracoccidioidomycosis, Cocaine inhalation, systemic lupus erythematosus. [en.wikipedia.org]

    nose鞍鼻 salivary gland 唾液腺 salivation唾液分泌 semicircular canal 半規管 senile deafness老人性難聴 sensorineural hearing loss 感音難聴 sensory organ感覚器 sialoadenitis唾液腺炎 sinobronchial syndrome副鼻腔気管支症候群 sinusitis 副鼻腔炎 sleep apnea syndrome睡眠時無呼吸症候群 sneezingくしゃみ snoringいびき [tokyo-med.ac.jp]

    Saddle nose, septal swelling 72 Presenting sign in 13% of cases Eye Episcleritis, iritis, conjunctivitis, keratitis 65 ... [emedicine.medscape.com]

Eyes

  • Anterior Uveitis

    uveitis, retinal vasculitis, proptosis, lid edema, keratoconus, retinopathy, iridocyclitis and ischemic optic neuritis that can lead to blindness. [3] [4] [5] [9] Cataract also is reported in relation to either the disease or to glucocorticoid exposure [en.wikipedia.org]

Musculoskeletal

  • Arthritis

    Joints everywhere are involved in episodes of arthritis, with pain and swelling. Other tissues besides cartilage are also involved, leading to a variety of problems with the skin and other tissues. [medical-dictionary.thefreedictionary.com]

    Epitope-specific recognition of type II collagen by rheumatoid arthritis antibodies is shared with recognition by antibodies that are arthritogenic in collagen-induced arthritis in the mouse. Arthritis Rheum. 2002;46(9):2339-48. [malattierare.regione.veneto.it]

    Seminars in Arthritis and Rheumatism. 42 (1): 70–83. doi : 10.1016/j.semarthrit.2011.12.007. PMID 22417894. ^ a b McAdam, LP; O'Hanlan, MA; Bluestone, R; Pearson, CM (May 1976). [en.wikipedia.org]

    Track disease progression and treat patients more effectively with the information on genetic findings, imaging outcomes, cell and biologic therapies, rheumatoid arthritis, and SLE. [books.google.com]

    biovar cholerae 2 A001 Cholera due to Vibrio cholerae 01, biovar eltor 3 A009 Cholera, unspecified 4 A0100 Typhoid fever, unspecified 5 A0101 Typhoid meningitis 6 A0102 Typhoid fever with heart involvement 7 A0103 Typhoid pneumonia 8 A0104 Typhoid arthritis [hive-worx.com]

  • Joint Deformity

    migratory and non-deforming. [5] The most common sites of involvement are the metacarpophalangeal joints, proximal interphalangeal joints and knees. [en.wikipedia.org]

Workup

[…] operate, and practice in a convenient care clinic or urgent care clinic Designed for courses at the NP-DNP level, PAs, clinic managers, CNOs, graduate nurse/PA educators and students Identifies 20 top conditions seen in retail health clinics and provides workup [books.google.com]

In addition to these 2 tests, a thorough workup includes potassium hydroxide preparation, fungal cultures, Gram stain, and bacterial cultures to exclude a superimposed infection. [emedicine.medscape.com]

Treatment

Treatment consists of periodic removal of accumulated material. [helpmehear.ca]

Antimicrobial treatment should continue for 2-4 weeks [5,9].Epidemiologic studies on the diagnosis and treatment of diseases and management strategies play the prime rolethat lead to accomplishing age, gender, ethnic, economic, and cultural patterns of [biomedpharmajournal.org]

Treatment The goals of treatment would be to treat the pain, cure the acute infection, and advise the patient (or responsible persons) on how to prevent recurrences. [en.citizendium.org]

Symptoms: conductive hearing loss Diagnosis is by scan, and treatment can be either surgical or prosthetic. [cochlea.eu]

– all alternative forms of treatment [ 23 – 25 ]. [head-face-med.biomedcentral.com]

Prognosis

Prognosis depends on the extent at the time of diagnosis. History and etymology External auditory canal cholesteatomas were first reported by Toynbee in 1850. [radiopaedia.org]

Prognosis There is no known cure for relapsing polychondritis. It can only be combated with each onset of inflammation and deterioration of cartilaginous tissue. As the disease progresses over a period of years, the mortality rate increases. [medical-dictionary.thefreedictionary.com]

Prognosis The condition is not life-threatening but can affect the quality of life [ 10 ]. Small studies suggest that many, or most, cases respond to conservative treatment [ 8 ]. The condition may recur after surgery. [patient.info]

Hence, we limited our description to the diseases which are frequent or call for special attention because of their prognosis. [head-face-med.biomedcentral.com]

What is the Prognosis of Chondrodermatitis Nodularis Helicis? (Outcomes/Resolutions) Chondrodermatitis Nodularis Helicis usually resolves with treatment. [dovemed.com]

Etiology

This result is consistent withPrasad HKC’s study [20], in whichtrauma was the most common underlying etiology with 46%.Respecting the significant association of underlying etiologies with external ear chondritis, any previous surgery, and manipulation [biomedpharmajournal.org]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

If the etiology is not clearly infectious (eg, an infected piercing), patients should be evaluated for an inflammatory disorder (see Overview of Vasculitis ). Perichondrial abscesses are incised, and a drain is left in place for 24 to 72 h. [merckmanuals.com]

Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.com]

Epidemiology

Methods This study is a descriptive epidemiologic study based on hospital data. [biomedpharmajournal.org]

Epidemiology [ 3 ] The condition is probably relatively common but is rarely documented in the literature. One study found that only 600 cases were reported between the years 1966 and 2004. [patient.info]

Several epidemiological studies track its occurrence as a nosocomial pathogen and indicate that antibiotic resistance is increasing in clinical isolates.Invasion of the skin and cartilage poses the potential for infection, inflammation and fluid accumulation [symbiosisonlinepublishing.com]

[…] cyclophosphamide is often given in addition to high dose intravenous steroids. [6] Prognosis [ edit ] Many individuals have mild symptoms, which recur infrequently, while others may have persistent problems that become debilitating or life-threatening. [17] Epidemiology [en.wikipedia.org]

Differential Diagnoses of Common External Ear Inflammatory Conditions (Open Table in a new window) Disease Etiology and Epidemiology Lesion Description Differential Diagnoses Atopic dermatitis Systemic disorder commonly seen in families with history of [emedicine.medscape.com]

Pathophysiology

Although food allergies and atopic dermatitis often coexist, the initial pathophysiology of atopic dermatitis is multifactorial and early skin dysfunction likely plays a vital role in the development of atopic dermatitis. [3] In women, menstruation and [emedicine.medscape.com]

Prevention

/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% Health Topic [codelay.com]

General postinjury preventive measures: Prevention of chondritis is of utmost importance: Difficult management and disfiguring potential Avoid pressure to the injured ea... [5minuteconsult.com]

Preventing water getting into the ears would logically be the best preventative measure for those who love swimming. [en.citizendium.org]

CNH cannot be prevented once the lesion has occurred. [dovemed.com]

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2.1
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