Thursday, 27 October 2016

Apple jelly nodules on nasal septum | AIIMS Based MCQ


Apple jelly nodules on nasal septum are seen in: 

A. Leprosy 
B. Syphilis 
C. Tuberculosis 
D. Wegner’s granulomatosis

Answer. C. Tuberculosis

Lupus vulgaris is a chronic progressive form of tuberculosis. Most commonly, it involves skin. It can also involve nasal septum. Clinically the patient presents with nasal discharge, nasal bleeding and crusting in nose. Apple jelly nodules on nasal septum are characteristic finding of lupus vulgaris. The diagnosis is established by nasal biopsy.