Abstract
Sarcoidosis is a chronic granulomatous disease of unknown etiology which principally affects the lower respiratory tract & lungs. Sarcoidosis in the head & neck region is infrequent. Isolated sino nasal sarcoidosis without pulmonary involvement is rare.Case: An 18 years old male patient presented with the complaints of nasal blockage, purulent nasal discharge which was occasionally blood stained for 6 months, deformity of nose, swelling of face & lips for 4 months & watering of eyes for same duration. Endoscopy of nose revealed intra nasal mucosal thickening which was friable & bleeds on touch. The diagnosis of sino nasal sarcoidosis was made by histopathological examination of nasal biopsy specimen.Conclusion: Sino nasal sarcoidosis is a disease of diagnostic challenge to the clinician as its mimicking clinical features may be misleading & cause delay in definitive diagnosis. In the current case report, we presented a case of sino nasal sarcoidosis presenting as chronic rhino sinusitis.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.648-650
Highlights
Sarcoidosis is a multi system chronic granulomatous disease of unknown etiology which commonly affects young & middle aged females with involvement of multiple sites of body principally lower respiratory tract, skin, liver, eyes, spleen, peripheral lymph nodes & neural structures.1Sino nasal involvement in absence of pulmonary disease is extremely rare.[2]
Case Report: Mr Ripon, 18 years old farmer by occupation from Rajshahi, presented with the complaints of nasal blockage with purulent nasal discharge for 6 months, deformity of nose, swelling of face & lip & watering from right eye for 3 months, occasional dry cough & shortness of breath for same duration. With these complaints he initially received treatment from local doctors with no improvement of his symptoms. He got admitted at RMCH & consulted with an ENT specialist where he was operated & FNAC report of nasal tissue revealed giant cell tumor
FNAC was followed by histopathology the result of which showed chronic granulomatous inflammation & one of their differential diagnoses was tuberculosis
Summary
Sarcoidosis is a multi system chronic granulomatous disease of unknown etiology which commonly affects young & middle aged females with involvement of multiple sites of body principally lower respiratory tract, skin, liver, eyes, spleen, peripheral lymph nodes & neural structures.1Sino nasal involvement in absence of pulmonary disease is extremely rare.[2]. Lateral rhinotomy) & FNAC report of nasal tissue revealed giant cell tumor. FNAC was followed by histopathology the result of which showed chronic granulomatous inflammation & one of their differential diagnoses was tuberculosis. Patient had diffuse swelling over face more on rt.
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