Created by HELENE MOULIN on Jul 29, 2013 10:38:42 AM, Last modified by HELENE MOULIN on Dec 13, 2013 9:03:48 AM
61 year old female with a nasal septal perforation of unknown duration, attributed to remote trauma, presented with 3 months of increased nasal crusting, occasional epistaxis, foul odor and recumbent nasal obstruction. CBC, p-ANCA and c-ANCA were normal.
A biopsy was performed. Over the next 8 months, her symptoms waxed and waned, with intermittent episodes of acute left rhinosinusitis that improved with culture-directed antibiotics for S. aureus.