KROK 1 2010 – Question 42 · KROK (Medicine) · Pathomorphology

A 22 year old patient from the West Ukraine complains of laboured nasal breathing. Morphological examination of biopsy material of nasal mucous membrane revealed lymphoid, epithelioid, plasma cells as well as Mikulicz’s cells. What is the most probable diagnosis?

  1. A. Tuberculosis
  2. B. Glanders
  3. C. Rhinoscleroma
  4. D. Syphilis
  5. E. Leprosy
Hint

Focus on the unusual cell named in the biopsy together with the endemic region, and ask which chronic granulomatous infection of the upper airway that cell marks.

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