midline granuloma of nose

 midline granuloma of nose


 This is a patient aged 42yrs,from orissa presented with a small ulcer in the nasal vestibule which later have spread to the entire nose and mid half of the face.biopsy proven to be  lethal granuloma of nose,non healing,even under antibiotic cover.finally the patient landed in death unfortunately.but this acclaimed academic interest and hence forth i upload these photos for the benifit of doctors and students.
 
 

read more about letha midline granuloma: here