Nasal leprosy: an ancient disease not to be forgotten
Abstract
We are reporting a case of a gentleman referred to a tertiary care center for epistaxis associated with maggots in the nose and was found to have a nasal septal perforation. He underwent investigations with histopathologic analysis and skin slit smear to obtain a diagnosis. The patient received multidisciplinary management including endoscopic removal of the maggots and biopsies obtained from both the nasal septum and leg ulcers and subsequently anti leprosy medication.
Downloads
References
Parker NP, Pearlman AN, Conley DB, Kern RC, Chandra RK. The dilemma of midline destructive lesions: a case series and diagnostic review. Am J Otolaryngol. 2010 Mar-Apr;31(2):104-9. doi: https://doi.org/10.1016/j.amjoto.2008.11.010. Epub 2009 Mar 27.
World Health Organization. Global leprosy situation, 2012. http://www.who.int/wer/2012/wer8734.pdf?ua=1 (accessed 10 May 2015).
Barton RP. Clinical manifestation of leprous rhinitis. Ann Otol Rhinol Laryngol. 1976 Jan-Feb;85(1 Pt 1):74-82.
Metzinger SE, Guerra AB. Diagnosing and treating Nasal Septal Perforations. Aesthet Surg J. 2005 Sep-Oct;25(5):524-9. doi: https://doi.org/10.1016/j.asj.2005.06.002.
Brain DJ. Septo-rhinoplasty:closure of Septal Perforations. J Laryngol Otol. 1980 May;94(5):495-505.
Fornazieri MA, Moreira JH, Pilan R, Voegels RL. Perforation of Nasal Septum: Etiology and Diagnosis. Int. Arch. Otorhinolaryngol. 2010;14(4):467-471.
Baum ED, Boudousquie AC, Li S, Mirza N. Sarcoidosis with nasal obstruction and septal perforation. Ear Nose Throat J. 1998 Nov;77(11):896-8, 900-2.
RE M, Paolucci L, Romeu R, Mallardi V. Surgical treatment of nasal septalperforations: our experience. Acta Otorhinolaryngol Ital. 2006, 26(2):102-9.
Jacobson RR, Krahenbuhl JL. Leprosy. Lancet 1999;353: 655-60.
Abulafia J, Vignale RA. Leprosy: pathogenesis updated. Int J Dermatol 1999;38:321-34.
OAI - Open Archives Initiative
