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Journal of Obstrectic Anaesthesia and Critical Care
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Year : 2021  |  Volume : 11  |  Issue : 2  |  Page : 115-117

Relapsing polychondritis in a primiparous women for elective lower segment caesarean section

Department of Anaesthesia, Singapore General Hospital, Singapore

Correspondence Address:
Dr. Chi Ho Chan
Outram Rd - 169608
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JOACC.JOACC_24_21

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Relapsing polychondritis is a rare multisystem autoimmune disorder characterized by recurrent, progressive inflammation and destruction of cartilaginous tissue. Respiratory involvement is the major cause of morbidity and mortality. Airway management during anaesthesia in these patients can be challenging and may result in failed oxygenation and death. Increased physiological demand during pregnancy further complicates anaesthesia planning. Collaborative management under a multidisciplinary team of obstetricians, obstetric anaesthetists, rheumatologist, and pulmonologist is essential. We report a case of a parturient with relapsing polychondritis and severe respiratory involvement for caesarean section under combined epidural-spinal anaesthesia and discuss the anaesthetic management based on current literature.

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