Differential Diagnosis for a Crooked Nose
- Single most likely diagnosis
- Trauma: The most common cause of a crooked nose is trauma, which can cause a fracture or displacement of the nasal bones or septum, leading to a deviated or crooked appearance.
- Other Likely diagnoses
- Deviated septum: A deviated septum, where the cartilage and bone that divides the nasal cavity is off-center, can cause the nose to appear crooked.
- Nasal polyps: Large nasal polyps can cause a deviation or crookedness of the nose by pushing the nasal septum or lateral nasal wall.
- Rhinophyma: A condition characterized by a large, red, bumpy nose, often associated with rosacea, which can give the appearance of a crooked nose.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Nasopharyngeal cancer: Although rare, nasopharyngeal cancer can cause destruction of the nasal septum or lateral nasal wall, leading to a crooked appearance.
- Relapsing polychondritis: A rare autoimmune disorder that can cause destruction of the cartilage in the nose, leading to a crooked or saddle-shaped nose.
- Rare diagnoses
- Congenital syphilis: A rare condition that can cause a saddle-shaped nose or other nasal deformities.
- Wegener's granulomatosis: A rare autoimmune disorder that can cause destruction of the nasal septum or lateral nasal wall, leading to a crooked appearance.
- Sarcoidosis: A rare condition that can cause granulomatous inflammation in the nose, leading to a crooked or deformed appearance.