How is Relapsing Polychondritis diagnosed?

See how Relapsing Polychondritis is diagnosed. Which specialists are essential to meet, what tests are needed and other useful information for the diagnosis of Relapsing Polychondritis


Diagnosis of Relapsing Polychondritis


Relapsing Polychondritis (RP) is a rare autoimmune disorder characterized by recurrent inflammation of cartilage throughout the body. Due to its rarity and the variability of symptoms, diagnosing RP can be challenging. However, there are several key steps and diagnostic criteria that healthcare professionals use to identify this condition.



Medical History and Physical Examination


Diagnosing RP typically begins with a thorough medical history and physical examination. The doctor will ask about your symptoms, their duration, and any previous episodes of inflammation. They will also inquire about your medical history, including any autoimmune disorders or family history of RP.


During the physical examination, the doctor will carefully assess your joints, ears, nose, throat, and other areas where cartilage is present. They will look for signs of inflammation, such as redness, swelling, tenderness, or deformities. The presence of these symptoms, especially in multiple areas, can raise suspicion for RP.



Laboratory Tests


While there is no specific laboratory test that can definitively diagnose RP, certain tests can help support the diagnosis and rule out other conditions. Blood tests are commonly performed to assess inflammation markers, such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels. Elevated levels of these markers may indicate ongoing inflammation.


Additionally, autoimmune markers like antinuclear antibodies (ANA) and rheumatoid factor (RF) may be tested to evaluate for the presence of other autoimmune diseases that can mimic RP.



Imaging Studies


Imaging studies can provide valuable information in the diagnosis of RP. X-rays may be taken to assess the extent of cartilage damage or any bony abnormalities. Magnetic resonance imaging (MRI) or computed tomography (CT) scans can provide detailed images of affected areas, helping to visualize inflammation and cartilage involvement.



Biopsy


A biopsy is often considered the gold standard for diagnosing RP. It involves taking a small sample of affected cartilage or other tissues for microscopic examination. The biopsy can reveal characteristic findings, such as inflammation, destruction of cartilage, and infiltration of immune cells.



Diagnostic Criteria


There are no universally accepted diagnostic criteria for RP, but certain criteria have been proposed to aid in diagnosis. The McAdam criteria, for example, include the presence of at least three of the following:



  • Recurrent chondritis

  • Both auricles involved

  • Non-erosive inflammatory polyarthritis

  • Nasal chondritis

  • Ocular inflammation

  • Audiovestibular damage


Meeting these criteria, along with other supporting evidence from medical history, physical examination, laboratory tests, and imaging studies, can help confirm the diagnosis of RP.



Consultation with Specialists


Given the complexity of RP, consultation with various specialists may be necessary to confirm the diagnosis and manage the condition effectively. Rheumatologists, otolaryngologists, ophthalmologists, and other specialists experienced in autoimmune disorders can provide valuable insights and expertise.



In conclusion, diagnosing Relapsing Polychondritis requires a comprehensive approach that includes a detailed medical history, physical examination, laboratory tests, imaging studies, and sometimes a biopsy. The presence of characteristic symptoms, along with meeting specific diagnostic criteria, can help healthcare professionals confirm the diagnosis and develop an appropriate treatment plan.


by Diseasemaps

They can sometimes do a biopsy but most are diagnosed by there red hot ears.

4/26/17 by Freya 1000

There is no specific test for rp. Diagnosis is based on a collection of data such as symptoms and scans of trachea etc Diagnosis is difficult as the various symptoms may be similar to and mistaken for other, more common diseases. There are no blood tests which can confirm RP and diagnosis is usually made on clinical symptoms alone. Due to the rarity of the condition, clinicians are often unfamiliar with the symptoms and patients occasionally wait years before getting a diagnosis. ​ Doctors will diagnose Relapsing Polychondritis on observing at least three of the following: ​ inflammation of cartilage in the ears (excluding the soft lower earlobe) pain and swelling in several joints inflammation of the nose cartilage eye inflammation inflammation of the cartilage in the windpipe hearing loss/tinnitus/vertigo

4/27/17 by Lisa Matthews (Lissy) 4800

It is really very difficult to diagnose. Most of the time it has to come to deformity / redness of ears and nose so that the doctors can understand what is really happening.

4/27/17 by Laoura 2050

My diagnosis was clinically based. Very obvious Ear involvement. Classic symptoms, but only picked up by a very astute ENT specialist. Biopsy is very unreliable. Once I was diagnosed there was no need to question the diagnosis. It was very obvious that I had Relapsing Polychondritis. I had already been diagnosed with Autoimmune Haemolytic anaemia and dysautonomia.

8/9/17 by Louise C 1450

Most patients are diagnosed by having at least 3 major symptoms of RP. Some have biopsies but I do not believe it is necessary.

8/14/17 by Susan 2000

I was not diagnosed for 10-15 years. It was an Internal Medicine doctor who finally diagnosed me. He is known to be a great diagnostician. I explained my history to him. I was in a flare at the time. When he saw my red ears, he told me immediately what he suspected. I had never heard of RP before. I had searched many diseases on the computer to try to find my symptoms. RP never came up. My Internal med doctor sent me to a Rheumy who ran many blood tests to check for inflammation and other underlying diseases of RP.

9/1/17 by Diane 2050

Symptoms. Biopsy recommended but not always conclusive

6/11/19 by Brooketaylornp@gmail.com 1000

ENT doctor ears and nose need looked at

6/12/19 by Tmrcarlson 3550

Relapsing polychondritis is diagnosed by using mcadams criteria. It is a clinical diagnosis. Some specialists now insist on a biopsy however these are usually inconclusive and only 40% reliable.

6/12/19 by Kaz 3000

There's no blood test for rp. Symptoms, mcadams criteria and signs of inflammation with or without inflammation markers, particularly seen in the ears.

12/30/19 by Leanne 2500

It is a clinical diagnosis, testing is often used to exclude other conditions

12/30/19 by Carrie 3050

In the 1980's little was known about the disease. My eye swelled and turned beet red with excruciating pain. I went to an ophthalmologist who said only two things could cause the condition - glaucoma which she said I did not have or relapsing polychondritis. I then went to a rhumatologist who diagnosed it through enzymes in the blood.

3/20/22 by shlawver 2500
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I don't think that doctors are prepared to give this diagnosis, in my case, I find looking in Google scholar.

10/1/17 by Ana Luiza Bottura. Translated
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Biopsy cartilage

10/2/17 by Kevin Ochoa. Translated
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Clinical, analysis, and other tests according to symptoms.

10/2/17 by cmomo. Translated
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Because it is a disease little known, and the symptoms confused with those of other diseases, it is difficult to be diagnosed first. In my case, I spent a year going to hospitals and by many doctors and nothing they find out. I took many antibiotics for nothing. So I went searching on Google and I had an idea of what it could be. I brought this idea to my family doctor, and so was I request examinations and analyses, which have found to be really of this disease

10/2/17 by Glaucia. Translated
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For being a rare disease doctors know little about it, in my case I was three years old showing the symptoms, I went to many doctors, I made several tests and everything that they to me told that it was a alérgia emotional, bizarre, me receitavam antiallergic and corticodes, that amenizavam the symptom, I only found out after my stomach being completely destroyed that I had was not alérgia and yes an autoimmune disease, and oh yeah I started a research best. I started my treatment at the end of 2015.

10/2/17 by Carolina. Translated
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You should go to a rheumatologist, an ent... There are not yet tests q to diagnose the disease are based more on the symptoms, although a biopsy of the ear can diagnose it

10/2/17 by Sandra. Translated

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