Respiratory System
Nose, Bone - Periosteal Proliferation
Narrative
Comment:
Periosteal proliferation (Figure 1 and Figure 2) may be seen with exposure to severe irritants (e.g., tear gas) and is typically associated with epithelial necrosis, inflammation, squamous metaplasia, and other irritant lesions. Periosteal proliferation appears as thickening of the trabecular bone with increased numbers of osteoblasts.
Recommendations:
Periosteal proliferation that is present in the absence of a mucosal lesion must be diagnosed and assigned a severity grade. If, however, this lesion is secondary to or a component of a mucosal lesion, it should not be diagnosed separately unless warranted by severity, but should be described in the pathology narrative.
References:
References not listed.