Lecturer of otolaryngology _ Faculty of medicine _ Fayoum University Fayoum University Fayoum, Al Fayyum, EGY
Introduction: Rhinoscleroma is a chronic specific granulomatous disease. It is endemic in, Egypt, tropical Africa, India, and Indonesia. Fayoum city considered one of the most endemic governments in Egypt. Complaint usually is nasal obstruction, other symptoms include; rhinorrhea, epistaxis, dysphagia, stridor, and dysphonia.The aim of this study is focusing on various clinical and radiological manifestations of scleroma in our endemic area, with some atypical symptoms and signs, and to alert physicians to suspect scleroma .
Methods: Descriptive study.50 cases were included who were admitted in our otorhinolaryngology department since 2018. They presented with various manifestations of Rhino scleroma. Our diagnosis was based on clinical and radiological examination, aided by bacteriological and pathological examination.
Results: : Patients with typical rhinoscleroma presented with various nasal symptoms. Many patients complaining of various nasal symptoms and signs, which were not suspected to be rhinoscleroma, so our workup was directed to diagnose those patients, and their final diagnosis was reached to be rhinoscleroma.
Conclusions: : Rhinoscleroma can present clinically with atypical features, so in order to avoid misdiagnosis, it is important to keep in mind these atypical manifestations.