Drug-induced atrophic rhinitis is a chronic condition characterized by destruction of nasal mucosa and sometimes osteocartilaginous structures, caused by severe chronic inflammation [1]. Many different conditions might be causative of atrophic rhinitis: infective diseases (tuberculosis, syphilis, leprosy, rhinoscleroma); systemic granulomatous diseases involving the upper airways (sarcoidosis, granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangioitis); non-Hodgkin extranodal lymphomas (Stewart’s granuloma), previous sinonasal surgery (empty nose syndrome), and abuse of nasal decongestants or drugs (cocaine) [1–4]. Patients suffering from secondary atrophic rhinitis usually come to the attention of ENT specialists mostly because of chronic nasal obstruction and sensation of 44 stuffy nose, which may become a considerable morbidity for them, decreasing their quality of life. Here are described secondary atrophic rhinitis caused by patient’s addiction to nasal vasoconstrictors and cocaine, leading respectively to rhinitis medicamentosa (RM), or rebound rhinitis, and cocaine-induced midline destructive lesions (CIMDLs).
Guerrieri, M., Giacomini, P.g., Flora, B., Silvani, L., Di Girolamo, S. (2020). Drug-Induced Atrophic Rhinitis. In Stefano Di Girolamo Editor (a cura di), Atrophic Rhinitis From the Voluptuary Nasal Pathology to the Empty Nose Syndrome, ISBN 978-3-030-51704-5 ISBN 978-3-030-51705-2 (eBook) https://doi.org/10.1007/978-3-030-51705-2 © Springer Nature Switzerland AG 2020 https://doi.org/10.1007/978-3-030-51705-2_4 (pp. 43-54). © Springer Nature Switzerland AG [10.1007/978-3-030-51705-2_4].
Drug-Induced Atrophic Rhinitis
Giacomini, Pier Giorgio;Di Girolamo, Stefano
2020-01-01
Abstract
Drug-induced atrophic rhinitis is a chronic condition characterized by destruction of nasal mucosa and sometimes osteocartilaginous structures, caused by severe chronic inflammation [1]. Many different conditions might be causative of atrophic rhinitis: infective diseases (tuberculosis, syphilis, leprosy, rhinoscleroma); systemic granulomatous diseases involving the upper airways (sarcoidosis, granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangioitis); non-Hodgkin extranodal lymphomas (Stewart’s granuloma), previous sinonasal surgery (empty nose syndrome), and abuse of nasal decongestants or drugs (cocaine) [1–4]. Patients suffering from secondary atrophic rhinitis usually come to the attention of ENT specialists mostly because of chronic nasal obstruction and sensation of 44 stuffy nose, which may become a considerable morbidity for them, decreasing their quality of life. Here are described secondary atrophic rhinitis caused by patient’s addiction to nasal vasoconstrictors and cocaine, leading respectively to rhinitis medicamentosa (RM), or rebound rhinitis, and cocaine-induced midline destructive lesions (CIMDLs).I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
