What is Rhinoscleroma or Hebra NOSE

Rhinoscleroma is also known as WOODY NOSE or Hebra Nose or Balkan leprosy

1. First described by Hebrew.
2. Termed by Von hebra.
3. Chronic granulomatous  disease  of nose.

Causative agents of Hebra Nose

Kliebseilla Rhinoscleromatis(Firsch bacilli –gram negative diplococci).

Sites of infection

1. Nasal cavity:- Inferior turbinate> middle turbinate> anterior wall of nasal septum.
2. Nasopharynx.
3. Oropharynx.
4. Larynx:- subglottic> glottis.
5. Trachea(cervical).
6. Bronchus

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