Surgical reconstruction of nasal sarcoidosis: a case report

Sarcoidosis is a systemic disease of unknown etiology that is characterized by noncaseating granulomatous inflammation of various organs. Isolated nasal cutaneous involvement is very uncommon (0.3%-4.0% of the patients reported) and rarely do sarcoid lesions present as severe nasal deformities and surgical treatment is rarely warranted. We present a 52-year-old black female patient who first was diagnosed with sarcoidosis in the early 1980s and had been treated traditionally for over 25 years and has developed a severe nasal deformity in which surgical treatment was warranted. Although severe nasal deformities caused by sarcoidosis are very uncommon, this case demonstrates a simple and straight forward surgical approach to obtain an excellent nasal reconstruction.