Abstract
A 56-year-old Vietnamese woman presented with worsening chronic pansinusitis with progressive oral and cutaneous involvement. For the previous 8 months, she had undergone multiple endoscopic submucosal resections of the nasal turbinates. Despite debridement and many courses of oral and intravenous (IV) antibiotics, her clinical course worsened. While further tests were pending, dermatology was consulted. On the day of consultation, physical examination showed diffuse centrofacial edema, ulceration of the right alar groove (Fig 1), and necrosis of her soft palate (Fig 2).
Highlights
Centrofacial cutaneous and oral ulcerations associated with pansinusitis
CASE PRESENTATION A 56-year-old Vietnamese woman presented with worsening chronic pansinusitis with progressive oral and cutaneous involvement
A punch biopsy was performed of the skin adjacent to the ulcer and the dermal infiltrate stained positively for CD56 (Fig 3, 1003)
Summary
Centrofacial cutaneous and oral ulcerations associated with pansinusitis From School of Medicine,a and Department of Dermatology,b Texas Tech University Health Sciences Center. Health Sciences Center e School of Medicine, 3601 4th Street, Stop 9400, Lubbock, TX 79430-9400.
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