Rhinitis caseosa has been defined as a rare type of unilateral nasal disease characterized by the accumulation in the nose and paranasal sinuses of an extremely offensive, cheeselike mass, by the presence of a seropurulent nasal discharge and other manifestations of chronic suppurative sinusitis and, lastly, by intranasal, and frequently external, deformities which result from pressure exerted by the caseous mass.
REPORT OF CASE
R. P., a 13 year old farmer's son from near Ionia, Mich., was admitted to the University Hospital on Nov. 28, 1939 with the complaint of complete nasal obstruction and copious foul nasal discharge. He had never been susceptible to colds and had had no nasal symptoms prior to the fall of 1938. At that time he had an acute infection of the upper respiratory tract, which was followed by a copious mucopurulent nasal discharge. The patient stated that he had used three handkerchiefs a day