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Clinical Problem Solving: Pathology
July 2011

Pathology Quiz Case 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2011;137(7):724. doi:10.1001/archoto.2011.102-a

A 67-year-old man presented with worsening sinonasal symptoms. He complained of bilateral nasal congestion with intermittent discolored nasal drainage. He reported that his sense of smell was not affected and denied having any facial pain or pressure. He also denied using intranasal drugs, including cocaine or topical decongestants. He had been recently diagnosed as having scleritis and ulcerative keratitis of unknown etiology and was being treated with prednisone for his ocular symptoms. His other medical conditions included ulcerative colitis, chronic obstructive pulmonary disease, diabetes mellitus, and coronary artery disease. He smoked 1 pack of cigarettes per day.