Tertiary Nasal Syphilis: Rare But Still a Reality
نویسندگان
چکیده
An 81 years old male presented with complaints of nasal discharge and crusting for 3 years, anosmia for 1 year and nasal deformity since 6 months. Nasal discharge was mucoid but viscid, associated with crusting, nasal obstruction and occasional epistaxis. Nasal deformity, in the form of depression of nose, gradually worsened and developed into a saddle, associated with redness over nose and surrounding area. He also recounted 4 episodes of shedding of fleshy bits from nose in last 6 months. The patient, however, denied any complaint of trauma to nose, cough, chest pain, dyspnoea, hematuria, sexual promiscuity (last sexual contact with wife 15-20 years back), anaesthetic skin patches, raised lesions on skin, joint pains, redness or swelling of pinna, mouth or genital ulcers, redness of eyes, diabetes, hypertension or weight loss.
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