Abstract
A patient presented with septal and palatal perforations imposes a diagnostic challenge because various potential causes need to be established. Therefore, elucidating the cause of the septal perforation requires obtaining a thorough history. In addition, it is very important to perform necessary investigations for the patients to determine and fix the underlying disease which cause these complaints. We report a case of patient presented with palatal and septal perforations which later was confirmed to have syphilis. DOI: http://dx.doi.org/10.3329/bjms.v11i3.11737 Bangladesh Journal of Medical Science Vol. 11 No. 03 July12
Highlights
A patient presented with septal and palatal perforations imposes a diagnostic challenge because various potential causes need to be established
Intrduction Any insult for instance chemical, physical, surgical, medical or iatrogenic to the normal anatomy in the upper airway passage can lead to the development of a perforation of nasal septum or palate; including cocaine abuse, chemical insult, surgery and trauma
The patient has not had any history of common syphilis symptoms
Summary
A patient presented with septal and palatal perforations imposes a diagnostic challenge because various potential causes need to be established. Systemic diseases such as syphilis, tuberculosis, sarcoidosis, Wegner's granulomatosis and cancers are known to cause nasal and septal perforation, even though the incidence is very low. She was using tissue papers to cover the hole as to prevent foods from entering nasal cavity every time during feeding. The margin was smooth and healthy looking with no tissue growth, connecting the oral and nasal cavities.
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