Unilateral dry nose?

RE: Unilateral dry nose?

Robert Lowe — Tue, 24 Nov 2015 12:17:16 GMT

Th lateral nasal gland in Millers anatomy.

https://books.google.co.uk/books?id=6eBOAQAAQBAJ&pg=PA344&lpg=PA344&dq=nasal+gland+in+dogs&source=bl&ots=FTkFDY1R7r&sig=QyfWB8Xi_KIitPaXb8vuifjpB0w&hl=en&sa=X&ved=0ahUKEwix5-K3hKnJAhUFShQKHflSCwQQ6AEIZjAN#v=onepage&q=nasal%20gland%20in%20dogs&f=false

RE: Unilateral dry nose?

Robert Lowe — Tue, 24 Nov 2015 12:13:28 GMT

There is a nasal gland also supplied by the lacrimal nerve so a tear duct blockage won't cause a dry nose but a neurogenic issue will if it affects the lacrimal nerve.. As Dagmar said there doesn't have to be concurrent dry eye if the lacrimal nerve is only partially affected or affected after it branches.

RE: Unilateral dry nose?

Kate Richardson — Tue, 24 Nov 2015 10:31:28 GMT

Would you not expect epiphora with tear duct blockage?

Also a caveat with the fluorescein test, if seen at nostril then confirms drainage and patency, if not seen, it could be a false negative as sometimes the tear ducts drain into the oropharynx so it doesn't appear at the nostril. Where this happens, I haven't seen an associated dry nasal planum, Not saying its not a useful test, but be aware of pitfalls when interpreting.

Is the inside of the nostril dry or is it just the planum?

I'm just not convinced it is related to ocular pathology or even neurological. Have you done a cranial nerve assessment?

Most dry crusty noses I see have a bacterial infection, fungal poss next most likely. I agree it is odd that it is so unilateral though, however the photo (to me) looks as though there is left sided involvement dorsally so maybe its not truly unilateral?

Maybe Robert Lowe could comment? Or any dermatologists out there?

Interesting case

RE: Unilateral dry nose?

Anthony Todd — Mon, 23 Nov 2015 16:42:32 GMT

[quote user="Hannah Wynne Richards"] I'd suspect tear duct blockage[/quote]

If it is, then the fluorescein test is diagnostic, give it a good 5 minutes, compare trickles on both nostrils.

Be very careful; it stains anything, so keep it away from your silk shorts!

I've never thought of blocked tear ducts' being connected, I must admit.

RE: Unilateral dry nose?

Hannah Wynne Richards — Mon, 23 Nov 2015 16:26:52 GMT

I'd suspect tear duct blockage

Wynne

RE: Unilateral dry nose?

Dagmar Steele — Mon, 23 Nov 2015 16:10:42 GMT

Most likely to be neurogenic, I've seen them without eye problems before.

RE: Unilateral dry nose?

Bob Russell — Mon, 23 Nov 2015 16:06:31 GMT

I will give a final check just as they leave the consulting room. Surprising how many take more than 30-60 seconds!

RE: Unilateral dry nose?

Robin Grimmer — Mon, 23 Nov 2015 14:41:40 GMT

I normally allow 30s to a minute.

RE: Unilateral dry nose?

Tom Ward — Mon, 23 Nov 2015 13:22:43 GMT

Good question! How long would you wait after application before checking? Is a minute long enough? [quote user="Robin Grimmer"]

If you put fluorescein in the eyes, does it appear at the nares?

[/quote]

RE: Unilateral dry nose?

Robin Grimmer — Mon, 23 Nov 2015 13:13:44 GMT

If you put fluorescein in the eyes, does it appear at the nares?