A frequent occurrence: Dermatological manifestations are frequently observe
d in patients with relapsing polychondritis. However, they have not been ex
tensively studied as polychondritis is a rare disease and the reported derm
atological manifestations appear to be nonspecific.
A wide spectrum: The most frequently observed manifestations are aphthosis
with sometimes complex aphthosis, nodular papular or purpuric lesions, Neut
rophilic dermatosis has been reported in isolated cases. Histologically, th
ese lesions correspond to nonspecific inflammatory infiltrates, vasculitis
or thrombosis. Various pathological findings are observed in nodular lesion
s.
Related and overlap conditions: Similar dermatological manifestations occur
in Behcet's syndrome and in inflammatory bowel diseases. Patients with rel
apsing polychondritis and myelodysplasia very frequently have dermatologica
l manifestations. Repeated blood cell determinations are therefore necessar
y in patients with relapsing polychondritis and dermatological manifestatio
ns.