Choanal stenosis in Crohn's disease: A case report and review of literature

A Rare Manifestation of Crohn's Disease: Sinonasal Granulomatosis. Report of a Case and Review of Literature

“…Histopathologic examination of nasal biopsies may demonstrate non--specific chronic inflammation [15]. It also showed non--caseating granulomas in the majority of patients, as in our case [10][11][12][13]. Pharyngeal or laryngeal involvement, pansinusitis, peritonsillitis and oral ulcerations were also described in some of these patients [12].…”

“…Very few reports of laryngeal CD exist in the literature [7][8][9]. Nasal manifestations are extremely rare [10][11][12].…”

“…In our patient, nasal obstruction and recurrent epistaxis were the main symptoms. Chronic atrophic or scabby rhinitis, oedema, ulcerations and polyposis of nasal mucosa, perforation of nasal septum, lysis and necrosis of the turbinates, saddle nose deformity, stenosis of the nasal fossae and empty nose syndrome were the most common endoscopic findings in these patients [10][11][12][13]. Nasal involvement with septum perforation, excoriation of the left nasal septum and abundant mucus revealed CD in only one patient [14].…”