Advertisement

European Journal of Plastic Surgery

, Volume 36, Issue 11, pp 719–722 | Cite as

An unusual case of nasal sarcoidosis

  • Thomas F. PezierEmail author
  • Michael B. Soyka
  • David Holzmann
Case Report

Abstract

Subcutaneous sarcoidosis is rare. As such, clinicians need a high index of suspicion when examining patients presenting with cosmetically unsightly lumps on the face. Sino-nasal manifestations of the disease should be sought with an endo-nasal examination, but definitive diagnosis requires histology. Even with good biopsy samples, the diagnosis may be elusive. We present a case from our clinic, which despite multiple biopsies, took almost 4 years to diagnose.

Level of Evidence: Level V, diagnostic study.

Keywords

Sarcoidosis Granuloma Rhinoplasty TAP deficiency Eosinophilic angiocentric fibrosis 

Notes

Conflict of interest

None

Patient consent

The patient provided written consent for the use of her images.

References

  1. 1.
    Vainsencher D, Winkelmann RK (1984) Subcutaneous sarcoidosis. Arch Dermatol 120(8):1028–1031PubMedCrossRefGoogle Scholar
  2. 2.
    Bauer MP, Brouwer PA, Smit VT, Tamsma JT (2007) The challenges of extrapulmonary presentations of sarcoidosis: a case report and review of diagnostic strategies. Eur J Intern Med 18(2):152–154PubMedCrossRefGoogle Scholar
  3. 3.
    Darier JRG (1904) Des sarcoïdes sou-cutanées. Contribution à l'étude des tuberculides ou tuberculoses attenuées de l'hypoderme. Ann Dermatol Syphilol 5:144–149Google Scholar
  4. 4.
    Kerner M, Ziv M, Abu-Raya F, Horowitz E, Rozenman D (2008) Subcutaneous sarcoidosis with neurological involvement: an unusual combination. Isr Med Assoc J 10(6):428–430PubMedGoogle Scholar
  5. 5.
    Aloulah M, Manes RP, Ng YH, Fitzgerald JE, Glazer CS, Ryan MW, Marple BF, Batra PS (2013) Sinonasal manifestations of sarcoidosis: a single institution experience with 38 cases. Int Forum Allergy Rhinol. doi: 10.1002/alr.21142
  6. 6.
    Costabel U, Teschler H (1997) Biochemical changes in sarcoidosis. Clin Chest Med 18(4):827–842PubMedCrossRefGoogle Scholar
  7. 7.
    Hunninghake GW, Costabel U, Ando M et al (1999) ATS/ERS/WASOG statement on sarcoidosis. American Thoracic Society/European Respiratory Society/World Association of Sarcoidosis and Other Granulomatous Disorders. Sarcoidosis Vasc Diffuse Lung Dis 16(2):149–173PubMedGoogle Scholar
  8. 8.
    Gadola SD, Moins-Teisserenc HT, Trowsdale J, Gross WL, Cerundolo V (2000) TAP deficiency syndrome. Clin Exp Immunol 121(2):173–178PubMedCrossRefGoogle Scholar
  9. 9.
    Magro CM, Dyrsen M (2008) Angiocentric lesions of the head and neck. Head Neck Pathol 2(2):116–130PubMedCrossRefGoogle Scholar
  10. 10.
    van Griethuysen J, Kuchai R, Taghi AS, Saleh HA (2012) Nasal sarcoidosis: a cause for a medical rhinoplasty? J Laryngol Otol 126(10):1073–1076PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Thomas F. Pezier
    • 1
    Email author
  • Michael B. Soyka
    • 1
  • David Holzmann
    • 1
  1. 1.Department of Otorhinolarnygology, Head and Neck SurgeryUniversity Hospital ZurichZurichSwitzerland

Personalised recommendations