title: [A cause of palatal necrosis not to ignore].
abstract: We report a case of pseudotumoral nasal septum and hard palate perforation in a 42-years-old man. The diagnosis retained after differential diagnosis exclusion was necrotic midfacial lesion due to chronic inhalation of cocaine. This condition can mimic vasculitis, primary tumors and granulomatous infections. Differential diagnosis and pathophysiology of this condition will be discussed in this anatomo-clinical case.
authors.affiliation: Laboratoire d'anatomie et cytologie pathologiques, CHU de Reims, 45, rue Cognac-Jay, 51100 Reims, France. Electronic address: camille.boulagnon@gmail.com.
authors.forename: Camille
authors.initials: C
authors.lastname: Boulagnon
authors.affiliation: Consultation d'oto-rhino-laryngologie, centre hospitalier de Vitry-le-François, 2, rue Charles-Simon, 51308 Vitry-le-François, France.
authors.forename: Ovidiu-Bujor
authors.initials: OB
authors.lastname: Kovacs
authors.affiliation: Laboratoire d'anatomie et cytologie pathologiques, CHU de Reims, 45, rue Cognac-Jay, 51100 Reims, France.
authors.forename: Martine
authors.initials: M
authors.lastname: Patey
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications*; D006801:Humans; D008297:Male; D061270:Nasal Septal Perforation / Q000209:etiology*; D009336:Necrosis / Q000209:etiology; D010159:Palate / Q000473:pathology*
keywords: Cocaine abuse; Consommation de cocaïne; Fistule oro-nasale; Lumière polarisée; Nasal perforation; Oronasal fistula; Palatal perforation; Pathologie; Pathology; Perforation nasale; Perforation palatine; Polarized light