Tanaffos. 2009; 8 (2): 69-71
em Inglês
| IMEMR
| ID: emr-92926
ABSTRACT
A 49-year-old married, non- smoker housewife had purulent rhinorrhea, nasal congestion, post nasal drip [PND], and feeling of sinus pressure following an episode of common cold. She had no complaints of fever, cough, dyspnea, or arthralgia. Physical examination revealed PND and a posterior auricular lymphadenopathy [1cm X 1cm]. The patient received amoxicillin for 2 weeks with mild improvement. But again, she experienced the exacerbation of signs and symptoms a week later. CT-scan of the paranasal sinuses was performed [Figure 1]. She also had erythematous patches on her face around the right eye and her back, along with splenomegaly. The patient was treated with amoxicillin/clavulanate [for two weeks], loratadine, and beclomethasone nasal spray as well as normal saline nasal wash. There was a slight improvement in patient's signs but, repeatedly after two weeks signs and symptoms exacerbated. Due to the lack of response to antibiotics, a biopsy of the skin lesion was taken which revealed the following histopathological findings:
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Seios Paranasais
/
Sarcoidose
/
Sinusite
/
Esplenomegalia
/
Biópsia
/
Tomografia Computadorizada por Raios X
/
Doença Crônica
/
Falha de Tratamento
Tipo de estudo:
Relato de Casos
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Tanaffos
Ano de publicação:
2009
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