Leproma Presenting as a Nasal Cavity Mass. Issue 8 (November 2015)

• Record Type: Journal Article
• Authors: Kim, Jong Seung; Kwon, Sam Hyun; Shin, Jin Yong
• Is Part Of: Journal of craniofacial surgery. Volume 26:Issue 8(2015)
• Publication Date: 2015-11
• Subjects: Granuloma -- granulomatous disease -- lepromatous -- leprosy -- nasal cavity; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000002156
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: Leprosy is a rare disease and unfamiliar to many people. A 55-year-old woman was presented to our hospital complaining of nasal obstruction and anosmia. Nasal endoscopic examination revealed reddish-colored exophytic, nonulcerative masses in both nasal cavities. The authors performed endoscopic sinus surgery which involved endoscopic mass removal and synechiolysis. A biopsy sample stained with acid-fast stain and a rapid silver stain showed numerous filamentous organisms infiltrating macrophages, consistent with lepromatous leprosy. The patient was treated with a triple drug regimen of rifampin and dapsone with clofazimine. Herein, the authors present a case of nasal leproma as a differential diagnosis of a nasal cavity mass.