Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-05-15T23:42:08.605Z Has data issue: false hasContentIssue false
  • English
  • Français

Mass in the post nasal space and acquired immune deficiency syndrome

Published online by Cambridge University Press:  29 June 2007

Adrian Drake-Lee ,
Mary Stevenson  and
Ivor Donaldson
Adrian Drake-Lee*
Affiliation:
Department of Otolaryngology, University Hospital Birmingham NHS Trust, Birmingham, UK
Mary Stevenson
Affiliation:
Department of Genito-Urinary Medicine, University Hospital Birmingham NHS Trust, Birmingham, UK
Ivor Donaldson
Affiliation:
Department of Otolaryngology, University Hospital Birmingham NHS Trust, Birmingham, UK
*
Address for correspondence: Adrian Drake-Lee. Queen Elizabeth Hospital Edgbaston, Birmingham B15 2TH. Fax: 0121 627 2291.
Get access Rights & Permissions [Opens in a new window]

Abstract

We report a case of previously undiagnosed acquired immunodeficiency syndrome (AIDS) who had a mass in the post-nasal space causing almost complete nasal obstruction. Histology showed both respiratory and squamous epithelium covering an active chronic inflammatory infiltrate. Lymphoma, Kaposi's sarcoma and infiltrative fungal sinusitis were excluded. There was no evidence of the common viruses associated with lesions in AIDS. Unlike adenoid hypertrophy, the lesion was an exuberant growth with an additional chronic inflammatory reaction due to ulceration of the surface epithelium.

Keywords

Acquired Immunodeficiency SyndromeNasopharynx
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 8 , August 1996 , pp. 787 - 788
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chakeres, D., Zawodniak, L., Bornstein, R., McGhee, R. Jr. Whitacre, C. (1993) MR of head and neck adenopathy in asymptomatic HIV seropositive men. American Journal of Radiology 14: 1367–1371.Google ScholarPubMed
Desai, S. (1992) Seropositivity. adenoid hypertrophy and secretory otitis media – a recognised clinical entity. Otolaryngology – Head and Neck Surgery 107: 755–757.CrossRefGoogle Scholar
DeSouza, Y., Greenspan, D., Felton, J., Hartzog, G., Hammer, M. (1989) Localization of Epstein-Barr virus DNA in the epithelial cells of oral hairy leukoplakia by in situ hybridization on tissue sections. New England Journal of Medicine 320: 1559–1560.Google Scholar
Finn, D. (1995) Lymphoma of the head and neck and acquired immunedeficiency syndromes: Clinical investigations and immunohistochemical study. Laryngoscope 105: 1–18.CrossRefGoogle Scholar
Gaines, H., Pehrson, P., Lundbergh, P., von Sydow, M. (1988) Clinical picture of primary HIV infection presenting as a glandular fever-like illness. British Medical Journal 297: 1363–1368.CrossRefGoogle ScholarPubMed
Marcusen, U., Sooy, C. (1985) Otolaryngologic and head and neck manifestations of acquired immunodeficiency syndrome (AIDS). Laryngoscope 95: 401–405.CrossRefGoogle ScholarPubMed
Olsen, W., Jeffrey, R., Sooy, C., Lynch, M., Dillon, W. (1988) Lesions in the head and neck in patients with AIDS: CT and MRI findings. American Journal of Neuroradiology 9: 693–698.Google Scholar
Pantaleo, G., Graziosi, C., Fauci, A. S. (1993) The immunopathogenesis of human immunodeficiency virus. The New England Journal of Medicine 328: 327–335.Google ScholarPubMed