Case history
Case history
A 35-year-old woman presents with a 4-month history of intermittent sinus pressure/pain with rhinorrhoea, postnasal drainage, and congestion. Secretions are thick and green in colour. She has been treated with antibiotics in the past, which improved but did not resolve her symptoms. She has a history of allergic rhinitis and positive allergy testing. Physical examination demonstrates tenderness to palpation over maxillary and frontal sinuses. Nasal examination shows a severely left deviated nasal septum with thickened, erythematous nasal mucosa with green purulence.
Other presentations
In patients with nasal polyps, nasal obstruction and anosmia/hyposmia often predominate. It is important in patients presenting with the primary complaint of headache always to consider migraine headache first as the primary diagnosis.
Use of this content is subject to our disclaimer