A 52-year-old man with a large external nasal mass is presented. Initially, the mass was thought to be rhinophyma, but biopsy of the mass revealed noncaseating granulomata consistent with sarcoidosis. The mass resolved following several steroid injections. The case is discussed in detail, along with a review of the literature pertaining to sarcoidosis of the nose and nasal cavity.
CasuccioJRYanagisawaE. Diseases of obscure etiology: sarcoidosis, Wegener's granulomatosis, and midline granuloma. Otolaryngol Clin North Am1981; 14: 331–45.
2.
McCaffreyTVMcDonaldTJ. Sarcoidosis of the nose and paranasal sinuses. Laryngoscope1983; 93: 1281–4.
3.
JorizzoJLKoufmanJAThompsonJNWhiteWLSharGGSchreinerDJ. Sarcoidosis of the upper respiratory tract in patients with nasal rim lesions: a pilot study. J Am Acad Dermatol1990; 22: 439–43.
4.
KrespiYPKuriloffDBAnerM. Sarcoidosis of the sinonasal tract: a new staging system. Otolaryngol Head Neck Surg1995; 112: 221–7.
5.
KerdelFAMoschellaSL. Sarcoidosis: an updated review. J Am Acad Dermatol1984; 11: 1–19.
6.
ArnoldHLJrOdomRBJamesWD. Andrew's Diseases of the skin: clinical dermatology. 8th ed.Philadelphia, Pa: WB Saunders, 1990: 159–85.
7.
UrquhartACBodensteinNPMcIntoshWA. Sarcoidosis with nasal obstruction and deformity. S Afr J Surg1990; 28: 107–9.
8.
DuncavageJADurkinGELehmanRHToohillRJ. Dilemmas in the management of chronic nasal and sinus inflammatory diseases of unknown etiology. Laryngoscope1985; 95: 1178–83.
9.
WaldmanSRLevineHLSebekBAParkerWTuckerHM. Nasal tuberculosis: a forgotten entity. Laryngoscope1981; 91: 11–6.
10.
DrakeDBMorganRFCooperPH. Shave excision and dermabrasion for facial angiofibroma in tuberous sclerosis. Ann Plast Surg1992; 28: 377–80.
GoldinJHJawardSMAReidAP. Cutaneous nasal sarcoidosis — treatment by excision and split-skin grafting. J Laryngol Otol1983; 97: 1053–6.
13.
Har-ElGShapshaySMBohigianRKKrespiYPLucenteFE. The treatment of rhinophyma: “cold” vs laser techniques. Arch Otolaryngol Head Neck Surg1993; 119: 628–31.
14.
WenigBLWeingartenRT. Excision of rhinophyma with Nd:YAG laser: a new technique. Laryngoscope1993; 103: 101–3.
15.
SullivanRDMayockRLJonesR. Local injection of hydrocortisone and cortisone into skin lesions of sarcoidosis. JAMA1953; 152: 308–12.
16.
KrespiYPMitraniMHusainSMeltzerCJ. Treatment of laryngeal sarcoidosis with intralesional steroid injection. Ann Otol Rhinol Laryngol1987; 96: 713–5.
17.
KhatriKAChotzenVABurrallBA. Lupus pernio: successful treatment with a potent topical corticosteroid. Arch Dermatol1995; 131: 617–8.