1. Eosinophilic Angiocentric Fibrosis of the Nasal Septum.
- Author
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Yunchuan Li, Honggang Liu, Demin Han, Hongrui Zang, Tong Wang, and Bin Hu
- Subjects
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ETIOLOGY of diseases , *RESPIRATORY diseases , *NOSEBLEED , *FACIAL pain , *HEADACHE , *NASAL septum , *DIAGNOSTIC imaging - Abstract
Background. Eosinophilic angiocentric fibrosis (EAF) is a rare benign condition of unknown aetiology that causes stenosis of the upper respiratory tract. It is most commonly found at the nasal septum and sinus mucosa causing mucosal thickening and nasal obstructive symptoms. The diagnosis is mainly based on characteristic histologic findings. Case Report. A 27-year-old young woman presented with a slow growing mass at her anterior nasal septum for over eight years. She complained of persistent nasal obstruction, epistaxis, sometimes diffused facial pain, and chronic headache. 3 years ago, the tumor was partially resected for ventilation and a nasal septum perforation was left. Imaging findings indicated soft-tissue thickening of the anterior part of septum and adjacent lateral nasal walls. Pathological examination showed numerous inflammatory cells infiltrates containing eosinophils, fibroinflammatory lesion with a whorled appearance fibrosis which typically surrounded vessels. A diagnosis of eosinophilic angiocentric fibrosiswas made. All laboratory testswere unremarkable. Skin prick testwas positive. The tumor-like lesionwas totally resected. Conclusions. EAF is a rare benign and progressive disorder causing destruction. Combined with radiological imaging of EAF historical findings contribute to the diagnosis. It is important to prevent tumor from recurrence by total resection of the lesion. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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