A 12 MINUTE CONSULTATION: 12 minute consultation: a patient with nasal crusting

Abstract

A careful and thorough history and examination, and targeted investigation, of the patient with nasal crusting will ensure correct diagnosis and treatment of patients with this common condition.

Low-Grade B Cell Lymphoproliferative Disorder Masquerading as Chronic Rhinosinusitis

“…The key learning point here is that although nasal crusting is a frequently encountered clinical feature that often requires no specific treatment, it is nevertheless crucial for the clinician to identify the small number of cases that are due to a potentially wide differential diagnosis including systemic inflammatory disorders such as vasculitis, malignancy, and infection, amongst others [13]. Clinicians should have a high index of clinical suspicion and our usual practice should be to check serum protein electrophoresis and immunoglobulins in all patients presenting with CRS-like symptoms and signs of immunosuppression as it may lead to an earlier diagnosis and potentially better outcome for patients.…”