Rhinoscleroma in a child

A 5-year-old girl with right nasal mass; (A) elevating the right side of the nose; (B) completely filling the nasal cavity.

Soft tissue mass involving the right side of the nose with free paranasal sinuses and nasal cavity.

Characteristic histopathology of rhinoscleroma shows Mikulicz cells which are large vaculated foamy cells with small nuclei and Russel bodies which are bright red degenerated plasma cells with background of multiple plasma cells (hematoxylin-eosin stain, 400×).

(A) The marked line is the site of lateral alatomy incision; (B) elevation of the ala with appearance of the mass.

The child after 1 year follow-up with fibrosis of the right side of the nose and swelling of the right lacrimal sac.