A 2-MONTH-OLD infant who had a 2-day history of nasal congestion, discharge, and swelling was treated with normal saline nose drops and nasal suctioning. There was no history of respiratory distress. Five days later he returned with the same complaint of nasal congestion. There was no history of cough, fever, or trauma to the nose or face. On physical examination, swelling was noted in both nasal passages (Figure 1). On inspection using a nasal speculum swelling was noted on both sides of the nasal septum (Figure 2). Palpation disclosed firmness and apparent tenderness of the nasal septum in both nares. The remainder of the physical examination was unremarkable.
Feinberg AN, Gushurst CA, Purdy WK, Tunnessen WW. Picture of the Month. Arch Pediatr Adolesc Med. 1998;152(6):601-602. doi:10.1001/archpedi.152.6.601