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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Vankatova, Lenka Dulguerov, Nicolas Landis, Basile Nicolas |
| Description | Author Affiliation: Dulguerov N ( Department of Otorhinolaryngology, University of Geneva Hospital, Geneva, Switzerland.); Vankatova L ( Department of Otorhinolaryngology, University of Geneva Hospital, Geneva, Switzerland.); Landis BN ( Department of Otorhinolaryngology, University of Geneva Hospital, Geneva, Switzerland.) |
| 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 2â 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 1â 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. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Cicatrix Complications Connective Tissue Diseases Diagnosis Rhinoplasty Sarcoidosis, Pulmonary Sarcoidosis Adult Diagnosis, Differential Female Humans Reoperation Adverse Effects Treatment Outcome Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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