a) rhinoscleroma (Hebra’s nose) _ _ _ _ _ _ _ _ _ _ Wrong answer ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ b) rhinosporidiosis _ _ _ _ _ _ _ _ _ _ Wrong answer ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ c) rhinophyma _ _ _ _ _ _ _ _ _ _ Correct ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ d) none of the above _ _ _ _ _ _ _ _ _ _ Wrong answer ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ Answer and Commentary _ _ _ _ _ _ _ _ _ _ This man has rosacea associated with severe rhinophyma. This irregular swelling of the nose usually begins at the tip and is associated with widely dilated pores from which foul-smelling debris can be expressed. The odor is offensive even to the patient and it was this that eventually drove him to seek treatment. Rhinoscleroma is a chronic, slowly progressive and potentially fatal infection of the nasal cavities with the bacterium Klebsiella pneumoniae rhinoscleromatis; rhinosporidiosis is an infection caused by the fungus Rhinosporidium seeberi which induces vascular polyps in the nose and also on other mucosal surfaces. ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯
