Inflammations of the Nose 2024 PDF

Acute 1 fruculosis 2 vestibulitis 3 rhinitis Chronic non specific 1 atrophic 2 hypertrophic specific 1 rhinoscleroma lupus syphilis leprosy It is an acute infection of the hair follicle by Staphylococcus aureus. Clinical picture and management. Acute staphylococcal infectio...

Acute 1 fruculosis 2 vestibulitis 3 rhinitis Chronic non specific 1 atrophic 2 hypertrophic specific 1 rhinoscleroma lupus syphilis leprosy It is an acute infection of the hair follicle by Staphylococcus aureus. Clinical picture and management. Acute staphylococcal infection of the hair follicle commonly seen in the nasal vestibule Etiology of recurrent furuncle: Nose picking Diabetes Immuno-compromised states Pain on touching the nose especially the tip/ ala Pus pointing or swelling over the nose or in the vestibule Purulent discharge if it ruptures Tenderness of the nasal tip/ ala  Nasal vestibule Nasal vestibule is the anterior and inferior part of nasal cavity. It is lined by skin and contains sebaceous glands,hair follicles and hair(vibrissae) easy to infection. Nasal cavity proper Furuncle of nasal vestibule Facial cellulitis Abscess of the upper lip Septal abscess Cavernous venous thrombophlebitis Vestibular stenosis-in recurrent forms Diffuse dermatitis of the nasal vestibule caused by staphylococcus aureus Etiology: frequent picking of the nose Clinical features: red ,painful nose. Crusts and scales, fissures Treatment: clean the crusts, local and systemic antibiotics Caused by rhinoviruses Clinical picture  Stage of ischemia  Stage of congestion  Stage of secondary bacterial infection  Stage of resolution Complications treatment Caused by influenza virus Clinical picture Complications are more serious than common cold treatment Chronic non spesefic rhinitis with hypertrophy of the mucous membrane of the nose Aetiology Clinical picture treatment Aetiology Primary (idiopathic) Secondary Pathology Clinical picture Treatment Treatment of the cause Medical surgical GRANULOMATOUS DISEASE OF NOSE Bacterial Others Rhinoscleroma Wegenor’s granulomatosis Syphilis Midline granuloma Tuberculosis and Lupus vulgaris Sarcoidosis Leprosy Fungal Rhinosporodiosis Aspargillosis Mucormycosis Candidiasis  Rhinoscleroma Caused by – Klebsiella rhinoscleromatis (Frisch bacillus), a gram negative bacillus any age and sex Primary site is nose 1. catarrhal stage 2. Atrophic stage 3. Granulomatous stage(woody nose) 4. Cicatricial stage Biopsy infiltration of submucosa with – Plasma cell – Lymphocytes – Eosinophils Most specific – Mikulicz cells – Russeil bodies Rifampcine 600 daily for three months Streptomycin (1 g/day for 4 weeks) tetracycline (2 g/day) Local nasal douching Paraffine oil Corticosteroids Surgical treatment Radiation is precancerous Congenital Acquired Primary (chancre) Early form Secondary Late form Tertiary (gumma) Early congenital syphilis Purulent nasal discharge Fissuring and excoriation of nasal vestibule Late congenital syphilis Gummatous lesion destroy the nasal structure Corneal opacity Deafness Hutchinson’s teeth Sensorineural hearing loss Interstesial keratitis Primary acquired syphilis Primary chancer Solitary rubbery painless lymph node Secondary acquired syphilis Lymphadenitis, mucosal patch ,fissures and crusts, condylomata lata, snail track shape ulcer Tertiary syphilis Gummatous lesion Perforation in bonny part of the septum VDRL Biopsy Wasserman reaction Benzathine penicillin 2.4 million units i.m weekly x 3week 1. Vestibular stenosis 2. Perforation of nasal septum 3. Secondary atrophic rhinitis 4. Saddle nose deformity Low grade tubercular infection Commonly involve the nasal vestibule and skin of the face Characteristic feature is “apple-gelly nodules” brown, gelatinous nodules Perforation of the cartilaginous septum Biopsy is diagnostic Anti-Tubercular t/t. Caused by M.leprae Mostly by Lepromatous leprosy Starts from the nasal vestibule and involve the septum and inf turbinate Nodular lesion Ulcers Perforation Atrophic rhinitis  Retraction of collumela Diagnosis by Biopsy Anti-leprotic therapy Dapsone (100 mg/d) plus clofazimine (50 mg/d), unsupervised; and rifampin (600 mg) plus clofazimine (300 mg) monthly (supervised) for 1–2 years THANK YOU