Primary atrophic rhinitis

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Nonallergic RhinitisAnswer a)bad odour felt by the patient


Primary atrophic rhinitis
  • Infection: coco-bacillus ozaenae, klebsiella ozaenae and other gram negative organisms have been isolated from cultures.
  • Endocrine imbalance: estrogen deficiency has been suspected.
  • Malnutrition: iron and vitamin A deficiency have been claimed.
  • Autoimmune disease.
  • Autonomic imbalance.
  • Hereditary factors.
The presenting symptoms are nasal obstruction, epistaxis and viscid discharge which rapidly dries and forms crusts. These crusts emit a characteristic foul odor (Ozaena), which is not smelled by the patient due to atrophy of the olfactory mucosa. Clinical examination confirms the presence of fetor and green or black crusts in the capacious nasal cavities. Nasal mucosa is thin and atrophic with atrophic inferior turbinates.

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