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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. 1Pneumology and Allergology Department, Hôpitaux pédiatriques de Nice CHU-Lenval, Nice, France
  2. 2Rhumatology Department, Hôpital Pasteur, CHU Nice, Nice, France
  3. 3ENT Department, Hôpitaux pédiatriques de Nice CHU-Lenval, Nice, France
  4. 4Hematology Department, Hôpital l’Archet, CHU de Nice, Nice, France
  5. 5Pediatric Nephrology and Rheumatology, Hospices Civils de Lyon, Bron, France
  6. 6Faculté 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

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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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