Relapsing polychondritis-associated Takayasu's arteritis.

We report a 40-year-old woman with saddle shaped-nose and bilateral deformed "cauliflower" ears who was admitted to our clinic because of arthralgia, fatigue, weakness and coldness in both arms, recurrent swelling and pain of the nose and both auricles. On physical examination, bruits were heard over both carotid arteries and blood pressure was not measurable in both upper extremities. Conventional angiography revealed total occlusion of left common carotid, right internal carotid, right subclavian, right renal and bilateral vertebral arteries. Relapsing polychondritis and associated Takayasu's arteritis were diagnosed according to Mc Adam and American College of Rheumatology (ACR) criteria, respectively.