Question
A patient with this condition shown in Photograph may have all of the following except
A. TB.
B. Leprosy.
C. Syphilis.
D. Rhinosporiodiosis.
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Correct Answer » D Explanation |
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Ans:D. Rhinosporiodiosis
Condition shown is Perforation of Nasal septum
PERFORATION OF NASAL SEPTUM
- A nasal septal perforation is a through-and-through defect in any portion of the cartilaginous or bony septum with no overlying mucoperichondrium or mucoperiosteum on either side.
Causes:
- Trauma is the most common cause : may be secondary to nasal surgery or repeated trauma, as in picking the nose
- Septal abscess
- Nasal myiasis
- Rhinolith
- Chronic granulomatous conditions
- Lupus, TB, Leprosy – perforation of cartilaginous part
- Syphilis – perforation of bony part
- Wegener’s granuloma
- Drugs and chemicals – steroid spray, cocaine addicts.
- Neoplastic causes
- Carcinoma
- T-cell lymphomas
Symptoms:
- Small perforations can cause a whistling noise when breathing.
- Larger perforations usually have more severe symptoms of a combination of crusting, blood discharge, difficulty breathing, nasal pressure and discomfort.
- Anterior septal perforations are more bothersome and symptomatic. Posterior septal perforations, which mainly occur iatrogenically, are often managed with simple observation
Treatment falls into 3 main categories:
- Medical treatment aims to reduce symptoms rather than correct the perforation.
- Placement of a nasal-septal prosthesis is a conservative intervention that may act as a temporary or long-term solution.
- Surgical repair may provide a definitive solution though is accompanied by increased potential morbidity and failure.
Rhinosporidiosis
- It is fungal granuloma caused by Rhinosporidium seeberi.
- The disease mostly affects nose and nasopharynx
- The mass is very vascular and bleeds easily on touch its surface is studded with white dots representing the sporangia of fungus