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Miscellanea
Images in paediatrics
Saddle nose not only for boxers
  1. Jean-Baptiste Lotte1,
  2. Mathilde Butori1,
  3. Nathalie Tieulie2,
  4. Sonanda Bailleux3,
  5. Christine Soler4,
  6. Alexandre Belot5,
  7. Lisa Giovannini-Chami1,6
  1. 1 Pneumology and Allergology Department, Hôpitaux pédiatriques de Nice CHU-Lenval, Nice, France
  2. 2 Rhumatology Department, Hôpital Pasteur, CHU Nice, Nice, France
  3. 3 ENT Department, Hôpitaux pédiatriques de Nice CHU-Lenval, Nice, France
  4. 4 Hematology Department, Hôpital l’Archet, CHU de Nice, Nice, France
  5. 5 Pediatric Nephrology and Rheumatology, Hospices Civils de Lyon, Bron, France
  6. 6 Faculté de Médecine, Université de Nice-Sophia Antipolis, Nice, France
  1. Correspondence to Professor Lisa Giovannini-Chami, Pneumology and Allergology Department, Hôpitaux pédiatriques de Nice CHU-Lenval, Nice 06200, France; giovannini-chami.l{at}pediatrie-chulenval-nice.fr

http://dx.doi.org/10.1136/archdischild-2019-317175

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    A 10-year-old girl was referred for nasal deformity and uncontrolled asthma. The nasal deformity had begun 10 months previously, associated initially with epistaxis and nasal obstruction then with fever and weight loss for 1 month.

    At physical examination, the patient appeared emaciated, with a ‘saddle nose’ deformity, rattly breathing and wheezing (figure 1).

    Figure 1

    Saddle nose deformity. (A and B) Aspect of the nose just prior to disease onset (January 2017). (C and D) Saddle nose deformity characterised by a loss …

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    Footnotes

    • Contributors J-BL and LG-C and wrote the case report. MB, NT, SB, CS and AB critically read the manuscript. SB performed ENT endoscopy and evaluation. AB was involved in expert national multidisciplinary discussion. J-BL, LG-C, MB, NT, SB, CS and AB contributed to the clinical management and the diagnosis for this patient and approved the final version of the manuscript.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.