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Nasal Vestibular Furunculosis Presenting as the Rudolph Sign

Sakat, Muhammed Sedat MD*; Kilic, Korhan MD; Ucuncu, Harun MD*

doi: 10.1097/SCS.0000000000002038
Brief Clinical Studies

Nasal furunculosis is a deep infection of hair follicle within the nasal vestibule. In this report, the authors presented a 49-year-old woman with 4-day history of focal red area and tender swelling on the tip of her nose. On physical examination, together with a swelling at nasal vestibulum, erythema, and edema on the skin of nasal tip were observed, which is called the Rudolph Sign. The patient was treated with intranasal topical mupirocin and oral sodium fusidate. Because nasal furunculosis may lead to serious complications such as ophthalmic vein thrombosis and cavernous sinus thrombosis, early diagnosis and effective treatment is essential.

*Department of Otorhinolaryngology, Faculty of Medicine, Ataturk University

Palandoken State Hospital, Otorhinolaryngology Clinics, Erzurum, Turkey.

Address correspondence and reprint requests to Harun Ucuncu, MD, Department of Otorhinolaryngology, Faculty of Medicine, Atatürk University, Erzurum 25240, Turkey; E-mail:

Received 10 March, 2015

Accepted 28 June, 2015

The authors report no conflicts of interest.

© 2015 by Mutaz B. Habal, MD.