Mikkel Holmelund wrote:
> 
> Dear members
> 
> Does anyone have suggestions concerning nasal crusting in a patient
> with sarcoidosis. Saline and topical steroids are not efficent.
> Sincerely
> ___________________________________
> Dr. Mikkel Holmelund
> ENT-Clinic Helsinore
> Strandgade 64
> DK- 3000 Helsingor
> Denmark

-- 
If the humidity is less than 50%, using a vaporizer can also be
helpful.  A Rhinotherm treatment can sometimes be helpful.  

Using Hydrogen peroxide on a cotton tipped swab to gently debreed the
area followed by Neosporin ointment 2-3 times a day is helpful.

It is important to have the patient use Ayr nasal spray *very*
frequently in order to keep the nose from drying out. We tell patients
to use it every 10 minutes, knowing that if we tell them that, they
might use it a few times per hour.

It is also important to make sure that they are not using any
antihistamines, antidepressants, etc. 

Wellington S. Tichenor, M. D.
642 Park Avenue
New York, New York 10021
212 517-6611
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