A Destructive Cough & Nasal Collapse

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?

Granulomatosis with polyangiitis


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?

Chronic sinusitis
Cocaine use
Congenital absence of nasal septum
Granulomatosis with polyangiitis
Nasal septal abscess

ANCA, ENT, Granulomatosis with polyangiitis, Pulmonary Nodules, Vasculitis

Leave a Comment