title: Improving cosmesis of lupus pernio by excision and forehead flap reconstruction.
abstract: Sarcoidosis is a granulomatous multiorgan disease that frequently affects the skin. Lupus pernio (LP) is a cutaneous presentation resulting in violaceous discolouration and swelling of the nose. We report a severe case resistant to conventional treatment, which ultimately underwent nasal resurfacing by forehead flap rhinoplasty. Flap reconstruction has not previously been reported for deforming LP. We review the long-term outcome and advocate consideration of plastic surgery input in severe disease resistant to medical treatments.
authors.affiliation: Department of Plastic Surgery, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, UK. rps100@hotmail.com
authors.forename: R
authors.initials: R
authors.lastname: Smith
authors.forename: J
authors.initials: J
authors.lastname: Haeney
authors.forename: Kh
authors.initials: Kh
authors.lastname: Gulraiz Rauf
mesh_terms: D000328:Adult; D004954:Esthetics; D005260:Female; D006801:Humans; D009668:Nose Diseases / Q000473:pathology / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012507:Sarcoidosis / Q000473:pathology / Q000601:surgery*; D012871:Skin Diseases / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome