What is your approach to treatment of airway involvement, such as recurrent bronchial stenosis, in relapsing polychondritis?
Are there specific immunosuppressive agents effective for this manifestation?
Answer from: at Academic Institution
Treatment for airway involvement in relapsing polychondritis depends on the type of airway involvement and associated clinical manifestations. It is not straightforward. Happy to discuss the case.
Depending on the location of airway involvement from the subglottic area to the trachea and central airways, options include cryo-spray ablation, balloon dilation, APC/Laser ablation (less favored), Kenalog injection and airway stenting. Typically, combined modalities are more effective than single ...