A case of multiple arterial stenosis is reported in a pattern with atrophic polychondritis. The disease was diagnosed retrospectively nine years after the first vascular signs on the basis of clinical course. Atrophic polychondritis is a rare connective tissue disease with characteristic chondritis. Cardiovascular involvement occurs in one-fourth of the cases during the clinical course leading to poor prognosis. Stenosis of the peripheral arteries has not been reported, to our knowledge, as the inaugural sign in atrophic polychondritis.
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