Nasal septal perforation in pregnancy case report: A family medicine perspective.

A pregnant woman in her early 30s presented to her family medicine doctor with a nasal septal perforation and a history of past cocaine use. This case required careful evaluation to distinguish between potential causes, including autoimmune vasculitis and drug-induced damage. Management was tailored to her pregnancy, emphasizing conservative nasal care and multidisciplinary support. With cessation of cocaine use and supportive treatment, the patient's nasal condition stabilized. This case highlights the diagnostic complexity of septal perforations and reinforces the importance of identifying cocaine-induced pathology, which in this case avoided unnecessary immunosuppression.