case_images: PMC10896749_01
case_images: Nasal deformity: lateral view.
case_images: cureus-0016-00000053078-i01.jpg
case_images: PMC10896749_01_cureus-0016-00000053078-i01.jpg
case_images: FIG1
case_images: She had noticed a recent onset nasal deformity (lateral and frontal views are shown in Figures 1, 2) but denied any neurological or skin manifestations.
case_images: Nasal deformity: frontal view.
case_images: cureus-0016-00000053078-i02.jpg
case_images: PMC10896749_01_cureus-0016-00000053078-i02.jpg
case_images: FIG2
case_images: She had noticed a recent onset nasal deformity (lateral and frontal views are shown in Figures 1, 2) but denied any neurological or skin manifestations.
case_images: Computed tomography scan showing pan sinusitis.
case_images: cureus-0016-00000053078-i03.jpg
case_images: PMC10896749_01_cureus-0016-00000053078-i03.jpg
case_images: FIG3
case_images: A computed tomography scan of her sinuses showed pansinusitis (Figure 3).
case_images: Renal biopsy showing 5/5 glomeruli with diffuse proliferative changes, cellular and fibrocellular crescents in 3/5 glomeruli, interstitial fibrosis and tubular atrophy (IFTA) of 10%, and appearances consistent with crescentic pauci-immune glomerulonephritis.
case_images: cureus-0016-00000053078-i04.jpg
case_images: PMC10896749_01_cureus-0016-00000053078-i04.jpg
case_images: FIG4
case_images: Renal biopsy revealed 5/5 glomeruli with diffuse proliferative changes, cellular and fibrocellular crescents in 3/5 glomeruli, interstitial fibrosis and tubular atrophy (IFTA) of 10%, and appearances consistent with crescentic pauci-immune glomerulonephritis (Figure 4).