title: Sarcoidosis presenting as necrotizing sinus destruction mimicking Wegener's granulomatosis.
abstract: We describe a 26-year-old man who developed nasal stuffiness and palatal destruction. Biopsy of a mass in the ethmoid sinus confirmed sarcoidosis. Treatment was initiated with oral steroid and methotrexate, with marked improvement in his symptoms. Although paranasal sinus involvement in sarcoidosis is rare it should be considered in differential diagnosis of diseases causing palatal or paranasal sinus destruction.
authors.affiliation: Division of Rheumatology, State University of New York at Stony Brook, USA.
authors.forename: S A
authors.initials: SA
authors.lastname: Hasni
authors.forename: B L
authors.initials: BL
authors.lastname: Gruber
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male; D010256:Paranasal Sinuses / Q000473:pathology*; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology