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Adult-onset Woakes’ syndrome: a rare entity
  1. Pedro Salvador,
  2. Francisco Moreira da Silva and
  3. Rui Fonseca
  1. Department of Otorhinolaryngology, Hospital da Senhora da Oliveira Guimarães, Guimaraes, Creixomil, Portugal
  1. Correspondence to Dr Pedro Salvador; josepedrobsalvador{at}


Woakes’ syndrome (WS) is a rare entity, defined as severe recalcitrant nasal polyposis with consecutive deformity of the nasal pyramid. WS occurs mainly in childhood and its aetiology remains unclear. We report a case of a 68-year old woman, with aspirin-exacerbated respiratory disease, who presented with recurrent nasal polyposis and progressive broadening of the nasal dorsum. CT scan revealed extensive bilateral nasal polyposis and diffuse osteitis, with anterior ethmoidal calcified lesions. The patient underwent revision endoscopic sinus surgery and nasal pyramid deformity was successfully managed without osteotomies.

  • ear
  • nose and throat/otolaryngology
  • otolaryngology / ENT
  • nasal polyps

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  • Contributors PS takes full responsibility for the integrity of the data presented. FMS and RF contributed to the conception, analysis and interpretation of data. PS was responsible for the drafting of the manuscript. All the authors revised the article for important intellectual content and gave their final approval of the version published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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