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Remission of relapsing polychondritis after successful treatment of myelodysplastic syndrome with azacitidine: a case and review of the literature

  • Abdulsamet Erden , Emre Bilgin ORCID logo EMAIL logo , Levent Kılıç , Alper Sarı , Berkan Armağan , Yahya Büyükaşık and Umut Kalyoncu
Published/Copyright: May 1, 2018

Abstract

Background:

Relapsing polychondritis (RP) is a rare autoimmune disorder, and myelodysplastic syndrome (MDS) is accompanied by RP at variable rates. Herein, we report a case with RP and MDS who responded dramatically to 5-azacitidine for MDS.

Case presentation:

With conventional immunosuppressive treatment, our patient had several episodes of different side effects, including infections. With the diagnosis of MDS and initiation of azacitidine treatment, all the manifestations of RP disappeared, and remission was achieved for MDS. Although he had relapses of either RP or MDS after several years of azacitidine treatment, all relapses were controlled well with the initiation of azacitidine treatment every time.

Conclusions:

Azacitidine should be kept in mind as a treatment option for RP patients with MDS.


Corresponding author: Emre Bilgin, MD, Hacettepe University Faculty of Medicine, Department of Internal Medicine, Ankara, Turkey, Phone: +90 312 305 11 48, Fax: +90 312 311 23 98

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2018-1-10
Accepted: 2018-3-4
Published Online: 2018-5-1
Published in Print: 2018-6-27

©2018 Walter de Gruyter GmbH, Berlin/Boston

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