Tuberculosis with secondary vasculitis presenting as a nasal septal perforation.
A 45 years old man with tuberculosis (TB) and secondary vasculitis presented with perforation of the nasal septum, involving skin and cranial nerves. Vasculitis is a recognized, tough rare complication of tuberculosis and has not been previously described in the literature as a cause of nasal septal perforation. It presents a diagnostic dilemma. The diagnostic challenges of this case are outlined, and the clinical implications are discussed.
Department of Otolaryngology, The Royal National Throat, Nose and Ear Hospital, 330 Gray’s Inn Road, London, UK. aarontrinidade@gmail.com
Aaron
A
Trinidade
Muhammad
M
Shakeel
Anooj
A
Majithia
Sarah
S
Woodham
Vincent
V
Cumberworth
D006099:Granuloma / Q000473:pathology; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D061270:Nasal Septal Perforation / Q000209:etiology* / Q000473:pathology; D014376:Tuberculosis / Q000150:complications*; D014657:Vasculitis / Q000150:complications / Q000209:etiology*