Subscribe to RSS
DOI: 10.1055/s-0038-1640932
Extrapulmonary manifestation of sarcoidosis in the paranasal sinus
Introduction:
We report the unusual case of a 31-year-old male patient with nasal congestion for two years, moreover he reported hyposmia.
Methods:
On anterior rhinoscopy, the nasal mucosa presented marked hypertrophy, purplish discoloration and granulomatous appearance of the medial turbinate on the left side. A CT scan revealed hypodense soft tissue mass in the left nasal cavity extending upto the left maxillary and ethmoidal sinus.
Results:
The diagnosis of sinonasal sarcoidosis was made based on histopathologic examination of biopsy specimens.
Conclusion:
Sarcoidosis is a multisystem granulomatous disorder and up to 30% of patients present with extrapulmonary sarcoidosis, but rarely in the paranasal sinus (1%). As no further organ affection could be detected, treatment was started with regular nasal irritation with saline solution and installation of intranasal glucocorticoids. Furthermore systemic glucocorticoids and other immunosuppressive agents maybe needed for severe disease later.
Publication History
Publication Date:
18 April 2018 (online)
© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Stuttgart · New York