case_images: PMC6572921_01
case_images: Right parotid fistula and nasal saddling.
case_images: 10.1177_2473974X18818416-fig1.jpg
case_images: PMC6572921_01_10.1177_2473974X18818416-fig1.jpg
case_images: fig1-2473974X18818416
case_images: The right parotid was tender with pus-draining sinus ( Figure 1 ). Examination of the external nose demonstrated supratip nasal depression (saddling) ( Figure 1 ).
case_images: An area of heavy inflammatory infiltrate including a larger blood vessel (BV) with acute inflammatory cells in the wall (arrows) (hematoxylin and eosin, x200).
case_images: 10.1177_2473974X18818416-fig2.jpg
case_images: PMC6572921_01_10.1177_2473974X18818416-fig2.jpg
case_images: fig2-2473974X18818416
case_images: Histopathological assessment of nasal biopsy revealed heavy chronic lymphoplasmacytic granulation tissue with granulomatoid lesions, vasculitis, and superadded heavy suppurative necrosis, featuring GPA ( Figures 2  and  3 ).
case_images: Chronic inflammatory cells, mainly lymphocytes and plasma cells, among compressed blood vessels (asterisk) (hematoxylin and eosin, x200).
case_images: 10.1177_2473974X18818416-fig3.jpg
case_images: PMC6572921_01_10.1177_2473974X18818416-fig3.jpg
case_images: fig3-2473974X18818416
case_images: Histopathological assessment of nasal biopsy revealed heavy chronic lymphoplasmacytic granulation tissue with granulomatoid lesions, vasculitis, and superadded heavy suppurative necrosis, featuring GPA ( Figures 2  and  3 ).