Surgical reconstruction of nasal sarcoidosis: a case report.
Sarcoidosis is a systemic disease of unknown etiology that is characterized by noncaseating granulomatous inflammation of various organs. Isolated nasal cutaneous involvement is very uncommon (0.3%-4.0% of the patients reported) and rarely do sarcoid lesions present as severe nasal deformities and surgical treatment is rarely warranted. We present a 52-year-old black female patient who first was diagnosed with sarcoidosis in the early 1980s and had been treated traditionally for over 25 years and has developed a severe nasal deformity in which surgical treatment was warranted. Although severe nasal deformities caused by sarcoidosis are very uncommon, this case demonstrates a simple and straight forward surgical approach to obtain an excellent nasal reconstruction.
Lesavoy
Malcolm A
MA
Department of Plastic and Reconstructive Surgery and Hand Surgery, UCLA School of Medicine; Los Angeles, CA, USA. drlesavoy@aol.com
Shirvanian
Vaheh N
VN
Grimes
Pearl
P
D001741:Black or African American; D001707:Biopsy, Needle; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D009668:Nose Diseases / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012507:Sarcoidosis / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D012720:Severity of Illness Index; D016038:Skin Transplantation / Q000379:methods; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology