A rare chronic granulomatous disease is Rhinosporidiosis characterized by polypoidal lesions of mucus membrane .Commonly affected area are nose, conjunctiva, naso-pharynx and palate. The causative agent is rhinosporidium seeberi.The disease has been reported in 70 countries. It is prevalent in Indian subcontinent and endemic in Sri Lanka and India. We hereby present a case of 60 years old male native of Uttar Pradesh,eastern zone of India with recurrent polypoidal nasal rhinosporidosis. Patient presented with long standing history of nasal obstruction and intermittent epistaxis for three years. Diagnosis was confirmed by histopathological examination and was treated by complete surgical excision .This was a very unusual cause of nasal mass in our setting. Nasal rhinosporidiosis lesion may largely mimic other nasal polyps, therefore it is a message for clinicians to consider Rhinosporidiosis as differential diagnosis for patients presenting with nasal mass or swelling Tablet dapsone is effective to reduce recurrence. Laser technique is very new tool and quiet safe for removal of nasal rhinosporidiosis and prevention of recurrence.
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