Rhinosporidiosis: Various Presentations and Different Sites

Abstract

Introduction Rhinosporidiosis commonly affects nasal mucosa but may have varied presentations depending upon the site of involvement. Materials and Methods 119 patients of rhinosporidiosis, attending the two medical colleges of West Bengal over a period of two years were reviewed. Results Granulomatous lesion in the nose and nasopharynx was the commonest presentation. The most common symptoms were nasal obstruction, bleeding from the nose and nasal discharge. The less commonly involved sites were the eye, penis, skin, subcutaneous tissue, muscle and bone. Discussion Most of the extranasal rhinosporisdiosis were secondary to nasal disease. Extranasal lesions do not have the typical granular polypoid appearance of the nasal and nasopharyngeal rhinosporidiosis. Extranasal rhinosporidiosis could be excised with minimal operative bleeding. Conclusion Rhinosporidiosis has nasal and extranasal presentations. This chronic disease may also present acutely with respiratory distress or haemorrhage. A high degree of suspicion helps the diagnosis of extranasal rhinosporidiosis. FNAC helps in the diagnosis. Histopathology is confirmatory.

Keywords

• Rhinosporidiosis
• Rhinosporidium
• Diagnosis, Differential
• Nose
• Conjunctiva
• Urethra
• Skin
• Subcutaneous Tissue
• Bone
• Polyps