Recently, primary tuberculosis of the nose is not common because of many antituberculous treatment and well planned control of tuberlosis. A 21 year-old male patient visited to the Department of E.N.T. because of granulomatous ulcerative lesion on right anterior portion of cartilagenous septum and nasal vestibule. He complained of nasal stuffiness, frequent nasal bleeding, crust formation and scanty amounts of mucopurulent discharges for 2 years. Nasal physical examination revealed well defined frim granulomatous ulcerative lesion with pale bluish, red colored, and dirty crust measured about 1.0cm×1.5cm in size on the right anterior portion of cartilagenous portion and nasal vestibule. A.F.B stain, fungus culture from the intranasal lesion showed as negative. V.D.R.L was non reactive but histopathological examination of section of tissue from the lesion showed tuberculous granulomatous inflammation. Chest P-A showed negative findings. P.N.S. X-ray revealed mucosal thickening and hazy density in the both maxillary sinuses which were suggestive for chronic maxillary sinusitis. He was diagnosed as primary nasal tuberculosis and successfully treated by anti T.B. therapy and local treatment as cleansing and douche. After 3 months treatments, nasal lesion is cured with faint skin discoloration.