title: Subcutaneous sarcoidosis in a rhinoplasty scar.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology, University of Geneva Hospital, Geneva, Switzerland.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Dulguerov
authors.affiliation: Department of Otorhinolaryngology, University of Geneva Hospital, Geneva, Switzerland.
authors.forename: Lenka
authors.initials: L
authors.lastname: Vankatova
authors.affiliation: Department of Otorhinolaryngology, University of Geneva Hospital, Geneva, Switzerland.
authors.forename: Basile Nicolas
authors.initials: BN
authors.lastname: Landis
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000150:complications*; D003240:Connective Tissue Diseases / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012086:Reoperation; D012225:Rhinoplasty / Q000009:adverse effects; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis*; D017565:Sarcoidosis, Pulmonary / Q000150:complications / Q000175:diagnosis*; D016896:Treatment Outcome
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