Discussions By Condition: I cannot get a diagnosis.

Tip of nose depression growing larger

Posted In: I cannot get a diagnosis. 12 Replies
  • Posted By: Anonymous
  • January 5, 2009
  • 04:34 AM

There is a depression in the upper left part of the Alar cartilage on my nose. It's doubled in size over the last two months to about 4mm. It's almost like the tip of my nose is dissapearing. Never used drugs, nor had any type of nose work done. could this be Relapsing Polychondritis?

My ENT is at a loss and is my Derm.

Any ideas?

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12 Replies:

  • Hi. I keep reading your post and still cannot make sense of what you are describing. Can you take a pic or markup a diagram? (I think saddle nose deformity when you say RPolychondritis)
    fewd4thought 126 Replies
    • January 5, 2009
    • 05:36 AM
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  • Have you had relapsing polychondritis before?If so,then I would be very suspicious that this is.Next,if you've had it,have you been checked for lupus,rheumatoid arthritis,or Wegener's granulomatosis?What is your sed rate?
    richard wayne2b 1232 Replies
    • January 5, 2009
    • 02:19 PM
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  • Please ignore Blaze.She's ablaze with the ''fires'' of electrmagnetic sensitivity richard wayne2b 1232 Replies
    • January 5, 2009
    • 11:05 PM
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  • Thanks so much for the kind counsel, it's much appreciated. I'm very anxious to get in to see a if it's RP. Cannot find a doctor familar with this condition that'll see me inside of four months. The waiting is driving me crazy as I watch my nose degrade. Because I have Ulecrtive Colitis I'm starting to think it's RP. To better describe the appearance. Imagine, a golf divot out of the tip of your nose, my ENT said it's the Alar Cartilage, small but growing. Been treating with over the counter anti-inflamitories, Asprin and Motrin. Thanks again,
    Anonymous 42789 Replies
    • January 5, 2009
    • 11:47 PM
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  • How did you know what relapsing polychondritis is?
    richard wayne2b 1232 Replies
    • January 6, 2009
    • 01:11 AM
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  • Oh,yeah,be sure they check your bloodwork for the things I mentioned.
    richard wayne2b 1232 Replies
    • January 6, 2009
    • 01:13 AM
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  • Who knows?I might like you and abhor your beliefs.
    richard wayne2b 1232 Replies
    • January 7, 2009
    • 04:31 PM
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  • Thanks again for the input.I learned about RP by researching problems with the structure of the nose...then my ENT mentioned it during my first appointment. He said RP usually affects the bridge of the nose, but does occassionally affect the Alar cartiledgeJust got the results from my blood work:SED Rate by modified Westerngren; 2 with a reference range of < or = 15mm/h. GP thinks SED rate would be higher if it were RP. He also checked me for Syphilis--negative.
    Anonymous 42789 Replies
    • January 7, 2009
    • 09:29 PM
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  • STV, important to include pmh info like your UC diagnosis. If you are followed by a GI specializing in UC/inflammatory bowel, you would certainly want to at least consult with that physician.
    fewd4thought 126 Replies
    • January 8, 2009
    • 01:02 AM
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  • Well, this would be spontaneous alar hyperplasia and is related to the same cause for the characteristic hump which appears along the posterior beam of the vomer, concordant in certain european lineage. My only concern is that it should be closely evaluted to make certain that it does not constitute a Chondroma, a sort of rare tumor which has been known on occasion to involve the alar cartilage. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • January 8, 2009
    • 02:21 AM
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  • Quick question...I'm having some trouble making sense of the orientation that you are giving. Am I to understand that you are talking about the posterior border of the vomer, meaning the free border? That doesn't seem right.
    fewd4thought 126 Replies
    • January 8, 2009
    • 02:53 AM
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  • The location (in non-medical terms); If you were looking directly at me, it would be the very front tip of the nose, on the rounded part, just to the left of center. The indention is now growing down to the upper left nostril opening and upwards toward the left. The hard edges around the indentation have become sensitive and somewhat inflamed feeling. Not painful, just irritated enough to notice. I wonder, would the blood work I just had done for my physcial have any cancer indicators. Both urine, and blood (8 small tubes) were tested for various things--the Doc said it all looks good--nothing remarkable. Guess I answered my own question. He would have noticed anything out of the norm. Have an appointment with "the nose doctors nose doctor" as my ENT calls him. I want to thank you for the input and thoughts as to what may be going on. I will update you as soon as we learn we have a diagnosis.
    Anonymous 42789 Replies
    • January 9, 2009
    • 00:01 AM
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