The Journal of Laryngology & Otology

Clinical Records

Mass in the post nasal space and acquired immune deficiency syndrome

Adrian Drake-Leea1 c1, Mary Stevensona2 and Ivor Donaldsona1

a1 Department of Otolaryngology, University Hospital Birmingham NHS Trust, Birmingham, UK

a2 Department of Genito-Urinary Medicine, University Hospital Birmingham NHS Trust, Birmingham, UK

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.

(Accepted April 19 1996)

Correspondence:

c1 Address for correspondence: Adrian Drake-Lee. Queen Elizabeth Hospital Edgbaston, Birmingham B15 2TH. Fax: 0121 627 2291.

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