Leproma Presenting as a Nasal Cavity Mass

Abstract

Leprosy is a rare disease and unfamiliar to many people. A 55-year-old woman was presented to our hospital complaining of nasal obstruction and anosmia. Nasal endoscopic examination revealed reddish-colored exophytic, nonulcerative masses in both nasal cavities. The authors performed endoscopic sinus surgery which involved endoscopic mass removal and synechiolysis. A biopsy sample stained with acid-fast stain and a rapid silver stain showed numerous filamentous organisms infiltrating macrophages, consistent with lepromatous leprosy. The patient was treated with a triple drug regimen of rifampin and dapsone with clofazimine. Herein, the authors present a case of nasal leproma as a differential diagnosis of a nasal cavity mass.

Endoscopic Changes of Nasal Mucosa in Patients with Leprosy

“…Patients in this stage complain of nasal obstruction, mucopurulent rhinorrhea and epistaxis. The third stage of the disease is a deformity phase (Kim et al, 2015).…”