A 10-YEAR-OLD boy presented to the otorhinolaryngology service with a 6-month history of right otalgia, nasal obstruction, and clear rhinorrhea and had recently developed right temporal cephalgia. He had been treated for allergic rhinitis and right otitis media several times over the past 6 months. Notably, 1 month earlier, he had bloody rhinorrhea and was found to be anemic. He was presently receiving iron supplementation therapy for the anemia and had experienced a 2.3-kg weight loss over the past 2 months.
Pollock TG, Deschler DG, Wu SS. Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2000;126(2):237. doi: