The Presence of Rhinoscleroma in Koraput District of Southern Orissa

Findings.?Anosmia present; nose broadened, thic* and flat. A flat circumscribed growth occupied the middle third of the upper lip, extending to the tip of the nose. The margins of the growth sligM'Jj raised; the overlying epidermis reddish in colour and markedly thinned out. A small circular area over the tumour, I inch in diameter, was denuded of surface epithelium and covered with a thin dry scale. The growth was firm and hard in consistency, painless bu slightly tender, and it almost occluded the anterior nares; the interior of the nasal passage could not be examined. No enlargement or tenderness of tbe regional lymph glands. Clinically no change neighbouring bones were detected. The soft palate aD<j pillars of the fauces were normal. A good view could not be obtained by with posterior rhinoscopy. Indirect laryngoscopy revealed no abnormality. Blood?Wasser-