<prompt> Atrophic dry nasal mucosa, extensive encrustations with woody hard external nose; is suggestive ofRhinosporidiosisRhinoscleromaAtrophic rhinitisCarcinoma of nose.  <response>: Ans. b Rhinoscleroma. Ref. ENT PL Dhingra, 3rd ed., 194In the granulomatous stage, painless and non-ulcerative nodules are formed in nasal mucosa, resulting in formation of so-called Woody Nose Hebrys Nose.RHINOSCLEROMA Chronic granulomatous disease. Caused by: a gram-negative bacterium Klebsiella rhinoscleromatisFrisch bacillus- Atrophic stage--atrophic rhinitis--foul-smelling purulent nasal discharge crusting.- Granulomatous stage--nodules in nasal mucosa, Woody hard external nose upper lip.- Cicatricial stage--stenosis of nares, distortion of upper parts in nose, nasopharynx oropharynx. It is common between 20 and 40y age and is found almost exclusively in lower socioeconomic class. Mikulicz cells Russel bodies are seen.- Mikulicz cells are large foam cells containing causative bacilli. Rx: Streptomycin, tetracyclines, steroids, surgery. 