FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 19-YEAR-OLD man presented with chronic left-sided nasal obstruction and periodic epistaxis that had worsened over the past 4 years. He denied having headaches, facial pain, changes in vision, loss of olfaction, weight loss, fatigue, fevers, night sweats, nausea, or vomiting.
Physical examinaton revealed a purplish blue mass completely filling the left nasal cavity, lateralizing, and compressing the turbinates. The lesion blanched with pressure. The septum was severely deviated to the right, to the point where the right nasal cavity was significantly obstructed. On oral examination, the palate appeared normal.
Battiata AP, Vander Ark W, Adair C, Mair E. Quiz Case. Arch Otolaryngol Head Neck Surg. 2001;127(3):329. doi:10.1001/archotol.127.3.329