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Granulomatous Disease of the Nose

Question
23 out of 35
 

In a patient with multiple bilateral nasal polyps with X-ray showing opacity in the paranasal sinuses. The treat ment consists of all of the following except: [AIIMS Nov 2010]



A Epinephrine
B Corticosteroids

C Amphoterecin
D Antihistamines

Ans. C Amphotericin B Ref. Dhingra 5th/ed p 186

a. This patient is having ethmoidal polyp (because polyps are multiple and bilateral)

b. Main etiology of polyps is allergy.

c. Medical treatment of polyps is the same as that for allergic rhinitis which consists of:

- Antihistaminics

- Steroids-helpful in patients who cannot tolerate antihistamine or have asthma along with polyps. It is also useful to prevent recurrence after surgery

- Decongestants such as epinephrine, phenylephrine, xylometazoline, ete.

d. Antifungals (e.g. Amphotericin B) have no role in treatment of polyps.

Granulomatous Disease of the Nose Flashcard List

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