Abstract
Eosinophilic angiocentric fibrosis (EAF) is a rare, benign condition affecting the respiratory mucosa and is generally characterized by a locally destructive growth. We present a case of a lady with a saddle nose deformity that had for many years been treated as granulomatosis with polyangiitis (GPA), of which saddle nose deformity is a classic feature. At the time of surgery, she was found to have subglottic stenosis another classic feature of GPA, however, histology demonstrated EAF. We discuss the difference between the two conditions and highlight the importance of making the correct diagnosis.
Figures



Cited by
- Eosinophilic angiocentric fibrosis of the sinonasal tract: a case report and review of the literature.Javadirad E, Roozbahani NE, Sadafi S.J Int Med Res. 2022 Sep;50(9):3000605221126039. doi: 10.1177/03000605221126039.PMID: 36172997Free PMC article.Review.
- Eosinophilic Angiocentric Fibrosis in Bilateral Upper Eyelid Conjunctivas: A First Case Report.Okuyama S, Yazu H, Ito Y, Minato H, Fujishima H.Am J Case Rep. 2020 May 5;21:e924042. doi: 10.12659/AJCR.924042.PMID: 32366815Free PMC article.
References
- Fang CH, Mady LJ, Mirani NM, Baredes S, Eloy JA. Sinonasal eosinophilic angiocentric fibrosis: a systematic review. Int Forum Allergy Rhinol 2014;4:745–52. – PubMed
- Rimmer J, Andrews P, Lund VJ. Eosinophilic angiocentric fibrosis of the nose and sinuses. J Laryngol Otol 2014;128:1071–7. – PubMed
- Deshpande V. IgG4 related disease of the head and neck. Head Neck Pathol 2015;9:24–31. – PMC – PubMed
- Fageeh NA, Mai KT, Odell PF. Eosinophilic angiocentric fibrosis of the subglottic region of the larynx and upper trachea. J Otolaryngol 1996;25:276–8. – PubMed
- Deshpande V, Khosroshahi A, Nielsen GP, Hamilos DL, Stone JH. Eosinophilic angiocentric fibrosis is a form of IgG4-related systemic disease. Am J Surg Pathol 2011;35:701–6. – PubMed
- Loane J, Jaramillo M, Young HA, Kerr KM. Eosinophilic angiocentric fibrosis and Wegener’s granulomatosis: a case report and literature review. J Clin Pathol 2001;54:640–1. – PMC – PubMed
- Kobraei EM, Song TH, Mathisen DJ, Deshpande V, Mark EJ. Immunoglobulin g4-related disease presenting as an obstructing tracheal mass: consideration of surgical indications. Ann Thorac Surg 2013;96:e91–3. – PubMed
- Lopalco G, Rigante D, Venerito V, Emmi G, Anelli MG, Lapadula GF, et al. Management of Small Vessel Vasculitides. Curr Rheumatol Rep 2016;18:36. – PubMed