Nasal Crohn’s disease?

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not creative
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Date Joined Mar 2007
Total Posts : 470
   Posted 8/27/2018 2:31 PM (GMT -6)   
TL;DR- looks like I developed nasal Crohn’s after years of Crohn’s remission. Looking for treatment options and support.

I understand Nasal Crohn’s to be pretty rare, but also underreported.

I was diagnosed with CD in 2002. I’ve been in remission on and off over the years and finally had Barbie butt/Ostomy surgery in 2010 which gave me remission for several years.

I have always had sinus problems and had surgery a couple of times for my septum and just a general scraping. My ENT had advised a year or two ago that more ‘general scraping’ surgery is likely to be futile. I was ok living with a never ending supply disgusting muck being produced by my head. All CTs of my sinuses show almost complete opacification.

Cut to June of 2017 and my face swells up on the right side and I’m diagnosed with septal perforation. My septum now has a big hole for no apparent reason. ENT sends me to Rhuem for a Wegner’s workup. It’s negative. I am then in and out of the ER and hospital over the next few months with no one able to tell me why my sinuses are swollen, painful, and full of never ending bloody disgusting swampy snot. My nose is swollen, painful, and gets crusty with deep ulcerations and fissures and bleeds intermittently for no reason.

After a year + long saga of the “what the hell is wrong with me?” California Tour of doctors, I got a second opinion at UCSF and based on the recommendation, my ENT finally just knocked my ass out last Wednesday and took five sinus/nasal biopsies.

The doc just called me and the pathology report from the biopsies says it’s Crohn’s disease.

In my ****ing nose.

What the hell? I’m already on Entyvio after being allergic to Remicade, failing humira, cimzia and Simponi. I had a colonoscopy last month that showed what’s left of my bowel is currently pristine. My nose, OTOH, is a hot, painful mess.

Anyone have Nasal/Sinus Crohn’s? What treatments did they offer? Did they work? Am I just stuck in misery forever?

Pls send soft tissue, puppy vids, and animals that do cute things with their hands.
Crohn's, Fibromyalgia
3-9-10: Total proctectomy and Sigmoid colostomy
On: Simponi, 6MP, Cymbalta, , Gabapentin, doxy (rosacea), synthroid, iron, multivitamin

Veteran Member

Date Joined Mar 2007
Total Posts : 1827
   Posted 8/27/2018 2:51 PM (GMT -6)   
Do you know exactly what was found in the biopsies that makes them think it's Crohn's in the nasal passages? Get a copy of the pathology report if you can.

One possible treatment could be nasal/sinus saline irrigation with a steroid solution. I've been doing this for years. I get budesonide respules and mix them in with my saline solution, then irrigate with the combination.

You get a lot more steroid into the nose that way compared to the steroid nasal sprays like Flonase or Nasacort.

I don't have Crohn's in the nasal passages but I've had lots of problems there (8 sinus surgeries, lots of bleeding complications, more infections than I can count).
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