{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:53:01Z","timestamp":1756461181209,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,2,9]]},"abstract":"<jats:p>A 39-year-old man presented to the hospital in April 2011 with a 2-month history of tonsillitis, night sweats, fatigue, weight loss, shortness of breath on exertion and a dry cough. He was a non-smoker, previously fit and well with no regular medication. Examination of the respiratory, cardiovascular and gastrointestinal systems was normal; he appeared generally well. C reactive protein and erythrocyte sedimentation rate were raised. A CT of the thorax showed mediastinal thickening and mediastinal lymphadenopathy. Whole body <jats:sup>18<\/jats:sup>F-fluorodeoxyglucose positron emission tomography showed diffuse tracheobronchial activity. Tracheal and lymph node biopsies showed non-specific features. Lung function tests showed an obstructive picture. A diagnosis of relapsing polychondritis was made. Immunosuppressive treatment was started, initially with oral methotrexate and prednisolone, later progressing to intravenous methylprednisolone and intravenous cyclophosphamide. Repeat bronchoscopy showed improvement in inflammation; however, the patient's symptoms were not improved. The patient's symptoms and lung function currently remain stable on maintenance oral prednisolone.<\/jats:p>","DOI":"10.1136\/bcr-2013-203367","type":"journal-article","created":{"date-parts":[[2014,3,5]],"date-time":"2014-03-05T06:45:00Z","timestamp":1394001900000},"page":"bcr2013203367","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Positron emission tomography aids diagnosis of relapsing polychondritis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Rahul Y","family":"Mahida","sequence":"first","affiliation":[{"name":"Queen Elizabeth Hospital Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Bowman","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Babu","family":"Naidu","sequence":"additional","affiliation":[{"name":"Heartlands Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R","family":"Thickett","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,3,5]]},"reference":[{"key":"2025082700025752000_2014.mar05_1.bcr2013203367.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2010.02.016"},{"key":"2025082700025752000_2014.mar05_1.bcr2013203367.2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-1180"},{"key":"2025082700025752000_2014.mar05_1.bcr2013203367.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc072254"},{"key":"2025082700025752000_2014.mar05_1.bcr2013203367.4","doi-asserted-by":"publisher","DOI":"10.1007\/s12149-010-0406-6"},{"key":"2025082700025752000_2014.mar05_1.bcr2013203367.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-012-2128-6"},{"key":"2025082700025752000_2014.mar05_1.bcr2013203367.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-010-1775-9"},{"key":"2025082700025752000_2014.mar05_1.bcr2013203367.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2011.08.006"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-203367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:03:05Z","timestamp":1756278185000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-203367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,5]]},"references-count":7,"alternative-id":["10.1136\/bcr-2013-203367"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-203367","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,3,5]]}}}