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Radiological aspects of rhinoscleroma.

S. Becker, M.D., Tony K. Shum, M.D., Todd S. Wailer, M.D., Paul R. Meyer, M.D., D. Segall, M.D., F. Clark Gardner, M.D., Clay W. Whitaker, M.D., William R. Simpson, M.D., James S. Teal, M.D., and Donald R. Hawkins, M.D. The nose, paranasal sinuses, larynx, and trachea were evaluated in 17 patIents with rhinoscleroma, using plain radiography, pluridiroctional tomography, and/or computed tomography (CT). Radiographic findings included paranasai sinus opacification, nasal turblnate atrophy, nasal mass with bone destruction, transglottic narrowing, vocal cord thickening, and discrete subglottic narrowing. While the findings were nonspecific, radiography was useful in defining the extent of the disease and evaluating the response to therapy. The CT findings described are presumably the first to be reported. INGEX TERMS Larynx, matlon, 2[0].240) diseases #{149} Nose, diseases #{149} Sinuses, paranasal #{149} Trachea #{149} (Face, neck, soft tissue Inflam- Radiology 141:433-438, November (scleroma) is a chronic, progressive disease of the respiratory tract caused by the bacterium Klebsiella rhinoscieromatis. Affecting primarily the nose, rhinoscieroma may also involve the nasopharynx, larynx, trachea, or bronchi. The disease is well known clinically and pathologically (1), and over 4,000 cases have been reported to date. Rhinoscieroma has been reported in central and eastern Europe, northern http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Radiology Radiological Society of North America, Inc.

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