PRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 4 April 2002
Tonsillar Sarcoidosis; A Case Report
Kazuhiro Yamamoto and Masatoshi Hirayama
(Yokosuka Municipal Hospital)
Yoshiaki Iguchi
(Kitasato University)
We report a patient with tonsillar sarcoidosis who was initially diagnosed with acute tonsillitis. A 49-year-old female, presented with complaints of sore throat and bilateral neck swellings. At the first examination, her tonsils were swollen and reddish colored. Bilateral neck lymph node swellings could also be palpated.
She was diagnosed as acute tonsillitis, and treated perorally with antibiotics (2 weeks). The tonsillar swelling, however, was not improved. Therefore we conducted a biopsy on her left tonsil and sarcoidosis was diagnosed.
The treatment was switched to peroral steroid medication and the symptons subsequently improved. The findings of concomitant acute inflammation and the location characterized this rare sarcoidosis case.
Key words : tonsillar sarcoidosis, acute tonsillitis, blind biopsy