A 42-year-old man presents with a Chronic Cough, fever, and nasal issues. A CT scan reveals shocking bone destruction. What’s the underlying diagnosis?
A 42-year-old man presented to the clinic with a 3-month history of worsening cough, shortness of breath, and fever. Physical examination showed inflamed nasal mucosa and nasal crusting. Wheezes and rales were heard on auscultation. A computed tomographic scan of the face showed extensive destruction of the structural bones of the midface, resulting in a large nasal cavity. What is the diagnosis?
What is the most likely diagnosis?
ANCA, ENT, Granulomatosis with polyangiitis, Pulmonary Nodules, Vasculitis