“…30 Examination of the nose consists of external appearance assessment for saddle nose deformities, alar collapse or epiphora. An endoscope is not only essential to make the diagnosis, 48 but also to assess disease activity and the extent of damage if present. 23 First, the mucosal lining is examined for evidence of rhinitis, friable mucosa, purple discolouration, granulomata and ulcers (often denoted by nasal crusting).…”