Woake's Syndrome Abscessed in Adults: Case Report

Area of Science:

• Otolaryngology
• Rhinology
• Medical Case Reports

Background:

• Woakes syndrome is a rare, severe form of chronic nasosinusal polyposis.
• It typically affects children and young adults, with adult cases being exceedingly rare.
• The etiology remains largely unknown, though hereditary factors are sometimes implicated.

Purpose of the Study:

• To report a unique case of abscessed Woakes syndrome in a 71-year-old male.
• To highlight the rare presentation of this condition in an adult patient.
• To discuss the management of this rare complication.

Main Methods:

• A 71-year-old male presented with acute swelling of the nasal pyramid.
• Physical examination revealed nasal polyposis and a soft tumor.
• Computed tomography (CT) of the paranasal sinuses identified a bony defect and an abscess.

Main Results:

• The patient had a history of aspirin intolerance and bilateral nasal polyposis.
• CT revealed a bony defect and an abscess at the nasal dorsum.
• The abscess was successfully drained, followed by antibiotic and corticosteroid therapy.

Conclusions:

• This case represents a rare instance of abscessed Woakes syndrome in an adult.
• The management involved abscess drainage and medical therapy.
• Early diagnosis and appropriate treatment are vital for managing nasal polyposis and its complications.