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Subcutaneous sarcoidosis in a rhinoplasty scar
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Subcutaneous sarcoidosis in a rhinoplasty scar
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Journal Article
Subcutaneous sarcoidosis in a rhinoplasty scar
2015
Overview
The presence of a subcutaneous hard bony-like lump at the lateral nasal wall after a septorhinoplasty procedure is an unfavourable result. The reported patient developed this complication 2 years after a revision surgery, in which percutaneous osteotomies were performed. An excision biopsy of the lump took place and the histopathological analysis revealed a granulomatous gigantocellular inflammation with absence of birefringent particles on polarised lamp and negative mycobacteria culture. After additional investigations, the final diagnosis was consistent with grade 2 pulmonary sarcoidosis associated with subcutaneous sarcoidosis. No treatment was initiated. The facial symptoms resolved without any additional treatment and the pulmonary function tests have not deteriorated after 1 year of follow-up. The polymorphism of cutaneous lesions in sarcoidosis, the absence of systemic symptoms and the unrecognised entity of subcutaneous sarcoidosis in a scar illustrate the diagnostic challenge with this patient.
Publisher
BMJ Publishing Group Ltd,BMJ Publishing Group LTD,BMJ Publishing Group
Subject
/ Adult
/ Biopsy
/ Connective Tissue Diseases - complications
/ Connective Tissue Diseases - diagnosis
/ Female
/ Humans
/ Lesions
/ Melanoma
/ Rhinoplasty - adverse effects
/ Sarcoidosis, Pulmonary - complications
/ Sarcoidosis, Pulmonary - diagnosis
/ Skin
/ Steroids
/ Unusual Presentation of More Common Disease/Injury
/ White
