Diabetic gangrene of the nose is rare enough to be reported as a medical curiosity. A search of the literature showed only 15 cases of diabetes involving the head. Eight cases of diabetes involving the nose or the sinuses were recorded; 1, the tongue; 2, the eyes; 6, chiefly the face, and 1, an area about the ear. Three new cases are reported in this article.
Trautmann1 reported in 1910 the case of a man of 52 with diabetes in whom necrosis of the septum developed and who "sneezed out a piece of cartilage the size of a 5 pfennig piece."
Bowers2 in 1924 reported a remarkable series of 3 cases in which the patients were all children under 11 years of age. The first 2 patients were seen before insulin was discovered, and both died. The third recovered with insulin. The first patient was aged 4½. There was gangrene
DYSART BR. DIABETIC GANGRENE INVOLVING THE SINUSES. Arch Otolaryngol. 1945;41(2):143–146. doi:10.1001/archotol.1945.00680030168008