Rhinoscleroma
is
a
chronic
granulomatous
condition
of
the
nose
and
other
structures
of
the
upper
respiratory
tract
.
Rhinoscleroma
is
a
result
of
infection
____________________
the
bacterium
Klebsiella
rhinoscleromatis
.
The
Polish
surgeon
Johann
von
Mikulich
in
Wroclaw
described
the
histologic
features
____________________
1877
;
von
Frisch
identified
the
organism
in
1882
.
In
1932
,
Belinov
proposed
the
use
of
the
term
scleroma
respiratorium
because
the
pathologic
process
in
rhinosclerosis
may
involve
not
only
the
upper
airways
but
also
the
lower
airways
.
____________________
1961
,
Steffen
and
Smith
demonstrated
that
K
rhinoscleromatis
conformed
____________________
Koch's
postulates
and
that
it
was
an
etiologic
factor
in
the
inflammatory
changes
typical
of
scleroma
.
The
occurrence
of
familial
disease
suggests
that
genetic
control
of
the
host
response
to
K
rhinoscleromatis
may
be
an
important
factor
in
endemic
areas
.
Rhinoscleroma
is
a
chronic
infectious
disease
____________________
underdeveloped
countries
.