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Clinical Problem Solving: Pathology
September 20, 2010

Pathology Quiz Case 2

Author Affiliations
 

JULIA C.IEZZONIMD

Arch Otolaryngol Head Neck Surg. 2010;136(9):930. doi:10.1001/archoto.2010.138-a

An 11-year-old boy presented with a several-month history of right-sided epistaxis. These episodes initially occurred 1 to 2 times a week and tapered to a frequency of 1 to 2 times a month. The episodes of epistaxis were typically mild and managed at home with pressure application. However, a more severe episode prompted evaluation in the emergency department and subsequent referral to the otolaryngology service. The patient had no symptoms other than ipsilateral nasal obstruction. Physical examination revealed a pink, polypoid mass in the anterior nasal cavity that appeared to be pedicled on the head of the inferior turbinate (Figure 1). Nasal endoscopy did not show any other mucosal abnormalities.

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