Clinically unsuspected tonsillar sarcoidosis in a child revealed by routine histologic examination.
In most hospitals, making a microscopic examination to tonsil and adenoid specimens from pediatric patients who present recurrent infections has become a standard practice. However, studies have shown that systematic examination of tonsils and adenoids was not needed for individual aged 21 or less. In this context, we describe the third report of an unsuspected tonsillar sarcoidosis revealed by histologic examination. A 5-year-old white girl was referred to our department because of frequent nasal and pharyngeal infections. Both tonsillectomy and adenoïdectomy were performed. Histologic evaluation revealed noncaseous epithelioid granulomas morphologically compatible with a diagnosis of sarcoidosis. Our observation illustrates the benefit of histological analysis in every tonsillectomy and adenoïdectomy specimen.
Saussez
Sven
S
Department of Otolaryngology Head and Neck Surgery, Hôpital Saint-Pierre, Université Libre de Bruxelles, Rue haute 322, 1000 Bruxelles, Belgium. sven.saussez@umh.ac.be
Mahillon
Virginie
V
Haller
Annick
A
Levy
Jack
J
Ferster
Alina
A
Dargent
Jean-Louis
JL
D000233:Adenoidectomy; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma; D006801:Humans; D014066:Palatine Tonsil / Q000473:pathology* / Q000601:surgery*; D012008:Recurrence; D012507:Sarcoidosis / Q000175:diagnosis*; D014068:Tonsillectomy; D014069:Tonsillitis / Q000601:surgery*; D016896:Treatment Outcome