What causes nasal irritation from upper respiratory infection (URI) congestion and rhinorrhea, resulting in a superficial wound on the medial internal naris?

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Differential Diagnosis for Nasal Irritation and Superficial Wound on Medial Internal Nare

  • Single Most Likely Diagnosis
    • Allergic rhinitis: This is the most likely diagnosis given the symptoms of nasal irritation, URI congestion, and rhinorrhea, which are common in allergic reactions.
  • Other Likely Diagnoses
    • Viral upper respiratory infection (URI): The symptoms described could also be due to a viral infection, which is a common cause of rhinorrhea and nasal congestion.
    • Non-allergic rhinitis: This condition can cause similar symptoms to allergic rhinitis but is not triggered by allergies.
    • Irritant rhinitis: Exposure to irritants such as chemicals or smoke could cause nasal irritation and rhinorrhea.
  • Do Not Miss Diagnoses
    • Nasal septal perforation: Although less likely, a perforation could cause nasal irritation and potentially lead to more serious complications if not addressed.
    • Sjögren's syndrome: An autoimmune disorder that can cause dryness and irritation in the nasal passages, among other symptoms.
    • Granulomatosis with polyangiitis (formerly known as Wegener's granulomatosis): A rare autoimmune disorder that can affect the nasal passages and sinuses, potentially causing destruction and complications.
  • Rare Diagnoses
    • Nasal tuberculosis: A rare condition that can cause nasal irritation, discharge, and potentially more serious complications.
    • Leprosy: A chronic bacterial infection that can affect the nasal passages, among other areas, causing irritation and damage.
    • Relapsing polychondritis: A rare autoimmune disorder that can cause inflammation and damage to cartilaginous structures, including those in the nose.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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