A 35-year-old man who had recently emigrated from Brazil had swelling and pain in his right nostril that had worsened over six months. A physical examination disclosed swelling and erythema of the right nasal vestibule, with tenderness and crusting. The lesion did not respond to antibiotic therapy. A biopsy disclosed necrotizing granulomatous inflammation without evidence of microorganisms. A diagnostic procedure was performed.
No takes yet. Share an insight, caveat, or question.
Weller et al. (2005) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: