gms | German Medical Science

Background: The predilection for sinunasal involvement with sarcoidosis is rare and reported in about 1% of sarcoidosis cases only. The reported patients presented with common chronic rhinosinusitis symptoms such as nasal obstruction, rhinorrhea, anosmia, epistaxis and facial pain.

Case: In this review will be reported from a case of sarcoidosis presented in a otorhinolaryngology clinic with left side nasal obstruction and pressure pain in the left maxillary sinus and forehead for 6 months. CT of the paranasal sinus from the 31 years old women revealed typical signs of chronic pansinusitis of the left maxillary, anterior ethmoidal, and the frontal sinuses was founded.

Results: As the conservative topical therapy with cortisone was not effective in this case, patient was treated surgically with a functional endoscopic sinus surgery (FESS). The pathological findings after the operation reported mucosal granulations with sarcoidosis involvements. In the medical history there is since 4 years sarcoidosis with pulmonary, hilary lymphadenopathy, liver involvement as well as Iritis is known. Follow up visits six months after the operation showed significant improvement of symptoms with no recurrence.

Conclusions: The aim of this report in view of the literature is to emphasize that in patients with sarkoidosis paranasal sinusitis can be involved though it is quite rare.

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