Case Report

Sarcoidosis Following Rhinoplasty: Report of Four Cases

Abstract

Sarcoidosis is a systemic idiopathic disease, characterized by non-caseating granulomas, primarily affecting the lungs and the lymphatics. Skin involvement is common and lesions may appear in scar tissues. In the present report, four cases of scar sarcoidosis following rhinoplasty are presented which were diagnosed based on serology tests, radiography imaging and histopathology findings. Three women and one man between 32 to 54-year-old are discussed in this report. Skin lesions on their nose were found after an average of 3.8 years of their septorhinoplasty surgeries. Two of the patients had systemic signs such as fever, cough and arthritis. Patients with diagnosed sarcoidosis were treated appropriately. Rhinoplasty is a common procedure today, and the fact that rhinoplasty may lead up to scar sarcoidosis in susceptible people can be an item for surgeons for consideration.

Spagnolo P, Luppi F, Roversi P, Cerri S, Fabbri LM, Richeldi L. Sarcoidosis: Challenging Diagnostic Aspects of an Old Disease. The American Journal of Medicine. 2012; 125:118-125.

Iannuzzi MC, Rybicki BA, Teirstein AS. Sarcoidosis. The New England Journal of Medicine. 2007; 357:2153-65.

Mantese SADO, Cesário TS, Berbert ALCV, Silva HBD. Sarcoidosis on skin scars – A Case report. Ann Bras Dermatol. 2010;85(6):903-905.

Biswas A. Pseudoepitheliomatous tattoo reaction. Diagnostic Histopathology 17:6 Elsevier Ltd. 2011; 272-275.

Fernandez-Faith E, McDonnell J. Cutaneous sarcoidosis: differential diagnosis. Clinics in Dermatology. 2007; 25: 276-287.

Marchell RM, Judson MA. Chronic cutaneous lesions of sarcoidosis. ClinDermatol 2007; 25: 295-302.

Nemati S , Golchay J, Alizadeh A. Frequency of minor skin and soft tissue complications in facial and periorbital area after septorhinoplasty.Iranian journal of otorhinolaryngology. 2012; 24 (3): 55-61.

McCaffrey TV, Mc Donald TJ. Sarcoidosis of the nose and paranasal sinuses. Laryngoscope 1983; 19:1281–1284.

Jean Jacques Braun, Andre´ Gentine, Gabrielle Pauli. Sinonasal Sarcoidosis: Review and Report of Fifteen Cases. The Laryngoscope 2004; 114: 1960-63.

Aloulah M, Manes P, Yuk Hui Ng, et al. Sinonasal manifestations of sarcoidosis: a single institution experience with 38 cases. Int For. Allergy Rhino.2013; 3 (7): 567–572

BasatOS, Ceran F, Aksan T, OzturkBM. Sarcoidosis Nodules on the Lateral Nasal Osteotomy Lines. The Journal of Craniofacial Surgery. 2016; 27:560-561.

Marks SC, Goodman RS. Surgical management of nasal and sinus sarcoidosis. Otolaryngology– Head and Neck Surgery, 1998; 118 (6): 856-858.

Files
IssueVol 57, No 4 (2019) QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/acta.v57i4.1848
Keywords
Sarcoidosis Rhinoplasty Scar Case reports

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Faghih Habibi A, Nemati S, Alizadeh P, Mikaeeli S. Sarcoidosis Following Rhinoplasty: Report of Four Cases. Acta Med Iran. 2019;57(4):267-270.