Vol.100 No.5 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 100 No. 5 May 2007
Sarcoidosis of the Nasal Cavity: A Case Report
Hiroaki Netsu, Katsunori Yagi and Eiji Chida
(Kohnan Hospital)
Nobuhiko Oridate
(Hokkaido University)
Although sarcoidosis is a systemic disease, the involvement of the nasal cavity is fairly uncommon. We present a 27-year-old female whose final diagnosis was nasal sarcoidosis. Nasal obstruction was the sole symptom at her first presentation. She underwent deviatomy of the nasal septum and submucosal turbinectomy. The pathological findings suggesting sarcoid granulomatosis indicated a whole body examination. No lesion in the lung, eye and skin was found at that time. Because of her deteriorating nasal lesions such as acute frontal sinusitis and recurrence of the nasal obstruction, she underwent another biopsy about a 18 months after the first surgery. The pathological findings suggested sarcoid granulomatosis and a second whole body examination was performed. The presence of skin, eye and chest lesions in the examinations lead to the final diagnosis of sarcoidosis originating from the nasal cavity. Treatment with local steroids decreased her symptoms. A close follow-up was planned due to the chronic and progressive course of the lesions of her nasal cavity.
Key words :
sarcoidosis, nasal obstruction, granulomatous disease, treatment