It is a fungal granuloma caused by rhinosporodium seeberi. It is seen in India, Pakisthan, and Srilanka. In india, most of the cases are seen in Southern states though several cases have also been reported from other parts of the country.
the disease mostly affects nose and nasopharynx; other sites such as lip, palate, conjunctiva, epiglottis, larynx, trachea, bronchi, skin, vulva, and vagina may also be affected.
The disease is acquired through contaminated water of pounds frequented also by animals. In the nose , the disease presents as a leafy, polypoidal mass,pink to purple in colour and attached to nasal septum or lateral wall. Sometimes it extendeds into the nasopharynx and may hang behind the soft palate. The mass is very vascular and bleeds easily on touch. Its surface is studded with white dots representing the sporangia of fungus.
In early stages the patient may complain of nasal discharge which is often blood tinged or nasal stuffiness. Sometimes frank epistaxis is the only presenting complaint.
Endoscopic excision – Dopsone can be tried high rate of recurrence can be expected in advance cases.