fig1

Figure 1. A 55-year-old male previously had bilateral partial inferior turbinectomy for persistent nasal obstruction without improvement after surgery. (A) presents the left nasal vestibule with a visible collapse of the external nasal valve caused by nasal framework disintegration. (B) presents beaded granular nasal mucosa throughout the entire nasal cavity. The patient was referred to a rheumatologist and diagnosed with GPA.