Bilateral Acute Angle Closure as an Uncommon Presentation of Relapsing Polychondritis: A Diagnostic Dilemma - Takeaways - MDSpire

Bilateral Acute Angle Closure as an Uncommon Presentation of Relapsing Polychondritis: A Diagnostic Dilemma

  • By

  • Vipin Rana

  • Vikas Sharma

  • Sandepan Bandopadhyay

  • Santosh Kumar

  • Sonali Vinay Kumar

  • December 3, 2025

  • 0 min

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  • 1

    Relapsing polychondritis (RP) is a rare immune-mediated disorder characterized by recurrent inflammation of cartilaginous structures.

  • 2

    Bilateral angle-closure glaucoma associated with choroidal effusion is an exceptionally rare ocular manifestation of RP.

  • 3

    The patient presented with systemic inflammatory signs, including fever and sensorineural hearing loss, prior to ocular symptoms.

  • 4

    Diagnosis of RP was confirmed based on the Modified Michet criteria after ruling out other potential causes.

  • 5

    The patient improved with systemic corticosteroids and azathioprine, demonstrating the importance of recognizing RP in atypical presentations.

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