Rare Involvement of Paranasal Sinuses in Sarcoidosis - Case Report and Literature Review

Afnan Rajeh, Andreas Albers E, Annett Pudszuhn and Veit Maria Hofmann

Sarcoidosis is a non-caseating inflammatory chronic systemic disease of unknown etiology, which
may affect one or more organs. Paranasal sinuses involvement occurs sporadic in sarcoidosis. We
report a patient with a medical history of sarcoidosis involving her lungs, liver, and lymphatic system
for four years who now presented with nasal and sinuses symptoms. The primary treatment with
local cortisone showed no improvement. Computed Tomography (CT) scan of the Paranasal Sinuses
(PNS) revealed signs of chronic pansinusitis. She was successfully treated with endoscopic sinonasal
surgery. Subsequent histological analysis confirmed the involvement of the PNS with sarcoidosis.
Her follow-up during the last 6 month was without recurrence.

^*Correspondance to: Veit Maria Hofmann 

 PDF  Full Text DOI: 10.25107/2474-1647.2477

Abstract

Sarcoidosis is a non-caseating inflammatory chronic systemic disease of unknown etiology, which may affect one or more organs. Paranasal sinuses involvement occurs sporadic in sarcoidosis. We report a patient with a medical history of sarcoidosis involving her lungs, liver, and lymphatic system for four years who now presented with nasal and sinuses symptoms. The primary treatment with local cortisone showed no improvement. Computed Tomography (CT) scan of the Paranasal Sinuses (PNS) revealed signs of chronic pansinusitis. She was successfully treated with endoscopic sinonasal surgery. Subsequent histological analysis confirmed the involvement of the PNS with sarcoidosis. Her follow-up during the last 6 month was without recurrence.

Keywords

Sarcoidosis; Paranasal sarcoidosis; Sinonasal involvement; Treatment of sarcoidosis

Cite the article

Rajeh A, Andreas Albers E, Pudszuhn A, Maria Hofmann V. Rare Involvement of Paranasal Sinuses in Sarcoidosis - Case Report and Literature Review. Clin Surg. 2019; 4: 2477.