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Granulomatous Disease of the Nose

Question
11 out of 35
 

About nasal syphilis the following is true(LQ)



A Perforation occurs in septum

B Saddle nose deformity may occur

C In newborn, it presents as snuffles

D Atrophic rhinitis is a complication e

E Secondary syphilis is the common association

Ans. E Secondary syphilis is the common association Ref. Dhingra 5th/ed p 113, 6th/ed p 151

Nasal syphilis may be:

• Acquired: - Primary, e.g. chancre in vestibule

- Secondary, e.g. simple rhinitis, crusting and fissuring leading to atrophic rhinitis

- Tertiary, e.g. Gumma leads to septal perforation and saddle nose deformity

(due to collapse of nasal bridge)

• Congenital: - Early (first 3 months): Presenting as snuffles, purulent nasal discharge, fissuring excoriation.

- late (around puberty): Gumma in septum and other stigmatas.

Teritary syphilis is a common association: primary and secondary syphilis are rare association in nasal syphilitis.

Septal perforation occurs in bony part in case of syphilis.

Granulomatous Disease of the Nose Flashcard List

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