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  Vol. 128 No. 11, November 2002 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case 2

Firas Farhat, MD; Miroslav Djokic, MD; Robert M. Naclerio, MD
The University of Chicago, Chicago, Ill

Arch Otolaryngol Head Neck Surg. 2002;128:1327-1329.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 68-YEAR-OLD African American man was referred for evaluation of left-sided nasal obstruction of 1 month's duration. He also noted some mild swelling of the left side of his face. He denied headaches, facial pressure, rhinorrhea, sneezing, epistaxis, decreased sense of smell, or problems with his teeth. Also, he had no history of fever, chills, night sweats, weight loss, or previous nasal problems. He was treated with beclomethasone spray, without relief of symptoms.

His medical history was significant for hypertension, insulin-dependent diabetes, and end-stage renal disease, necessitating hemodialysis. His medications included a prescription multivitamin supplement (Nephrocaps; Fleming & Co, Fenton, Mo), clonidine, nifedipine (Procardia), docusate sodium, calcium carbonate, insulin, and allopurinol. He did not smoke tobacco or drink alcohol.

The patient was in no acute distress. He had left-sided facial swelling that was mildly tender. There were no skin changes . . . [Full Text of this Article]



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