PMC3423660_01
CT scan:mucous obliteration of the maxillary sinus (complete in the left, partial in the right); thickened and swollen nose soft tissues without osteostructural alterations.
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fig1
On a CT scan performed for a sudden extremely painful nose swelling, a mucous obliteration of the maxillary sinus was revealed, nose soft tissues were thickened and swollen without osteostructural alterations (Figure 1).
Swelling with features of chondritis and crusted lesions of the nose.
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Physical examination revealed swelling with features of chondritis and crusted lesions in the nose and the right ear (Figures 2 and 3); chronic conjunctivitis with blepharitis aspects (Figure 4); multiple purple skin areas suggestive for vasculitic lesions in the upper and lower limbs, in particular ulcerative injuries of the hands (palm) (Figure 5) and ulcerative rhagadiform lesion in the gluteal region were disclosured as well as papular-crusted eruptions in the abdominal and umbilical area.
Swelling with features of chondritis and crusted lesions in the right ear.
CRIM.ID2012-354625.003.jpg
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fig3
Physical examination revealed swelling with features of chondritis and crusted lesions in the nose and the right ear (Figures 2 and 3); chronic conjunctivitis with blepharitis aspects (Figure 4); multiple purple skin areas suggestive for vasculitic lesions in the upper and lower limbs, in particular ulcerative injuries of the hands (palm) (Figure 5) and ulcerative rhagadiform lesion in the gluteal region were disclosured as well as papular-crusted eruptions in the abdominal and umbilical area.
Chronic conjunctivitis with blepharitis aspects.
CRIM.ID2012-354625.004.jpg
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fig4
Physical examination revealed swelling with features of chondritis and crusted lesions in the nose and the right ear (Figures 2 and 3); chronic conjunctivitis with blepharitis aspects (Figure 4); multiple purple skin areas suggestive for vasculitic lesions in the upper and lower limbs, in particular ulcerative injuries of the hands (palm) (Figure 5) and ulcerative rhagadiform lesion in the gluteal region were disclosured as well as papular-crusted eruptions in the abdominal and umbilical area.
Vasculitic-like ulcerative lesions of the hands (palm).
CRIM.ID2012-354625.005.jpg
PMC3423660_01_CRIM.ID2012-354625.005.jpg
fig5
Physical examination revealed swelling with features of chondritis and crusted lesions in the nose and the right ear (Figures 2 and 3); chronic conjunctivitis with blepharitis aspects (Figure 4); multiple purple skin areas suggestive for vasculitic lesions in the upper and lower limbs, in particular ulcerative injuries of the hands (palm) (Figure 5) and ulcerative rhagadiform lesion in the gluteal region were disclosured as well as papular-crusted eruptions in the abdominal and umbilical area.