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Sarcoidosis Causing Complete Nasal Obstruction.

Margaret K Mills¹, M Melinda Sanders², Todd E Falcone³

¹University of Connecticut School of Medicine, Farmington, CT, USA.

Ear, Nose, & Throat Journal

|March 31, 2021

Summary

This summary is machine-generated.

This case highlights rare sinonasal sarcoidosis causing severe nasal obstruction. Consider sarcoidosis in nasal obstruction, particularly with a history of systemic sarcoid disease.

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Area of Science:

Otorhinolaryngology
Pulmonology
Immunology

Background:

Sarcoidosis is a multisystem granulomatous disease of unknown etiology.
Pulmonary involvement is most common, but sinonasal disease can occur.
Systemic sarcoidosis can present with diverse and rare manifestations.

Observation:

A patient with a remote history of pulmonary sarcoidosis, in remission, presented with severe nasal obstruction.
No prior history of sinonasal sarcoidosis was noted.
Physical examination revealed significant nasal blockage attributed to the disease.

Findings:

The case demonstrates a rare presentation of sinonasal sarcoidosis.
This manifestation led to severe nasal obstruction despite remission of pulmonary sarcoidosis.
Histopathological examination confirmed granulomatous inflammation consistent with sarcoidosis.

Implications:

Sinonasal sarcoidosis should be considered in the differential diagnosis of nasal obstruction.
A history of systemic sarcoidosis increases suspicion for sinonasal involvement.
Early recognition and diagnosis are crucial for managing sinonasal sarcoidosis and preventing complications.