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June 2012

Long-term Nasal Plaque With Nasal Obstruction—Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(6):755-760. doi:10.1001/archderm.148.6.755-b
Report of a case

A 53-year-old man with a medical history of hay fever and asthma and a family history of atopy presented with a 28-year history of gradually progressive swelling of the nasal bridge, mucosal dryness, and subsequent nasal obstruction. Almost 9 years after presentation of the mucosal symptoms, the patient noticed a red, painless plaque on the skin of the nasal dorsum. The skin lesion was removed twice, once followed by a graft, with subsequent reappearance. The patient also underwent a surgical nasal reconstruction because of a nasal septum collapse.

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