Archives for September 2015

What’s the diagnosis? Patient presents with chronic sinusitis and this finding…

What’s the diagnosis? Answer Below…       Answer: Granulomatosis with Polyangitis: aka, GPA. Diagnosis is based on the saddle nose deformity in a patient with severe sinusitis. What conditions are associated with saddle nose? 1. Granulomatous Disorders: a) Granulomatosis Polyangitis b) Infection (Mycobacterial, Leprosy) c) Sarcoidosis 2. Neoplastic Conditions, i.e. EBV Associated Nasal Lymphomas