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Open Access Case Report

A rare case of sarcoidosis involving the middle turbinates: an incidental diagnosis

Seyra Erbek1*, Selim S Erbek1, Emine Tosun2 and Ozcan Cakmak1

Author Affiliations

1 Department of Otorhinolaryngology, Baskent University Faculty of Medicine, Ankara, Turkey

2 Department of Pathology, Baskent University Faculty of Medicine, Ankara, Turkey

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Diagnostic Pathology 2006, 1:44  doi:10.1186/1746-1596-1-44

Published: 21 November 2006

Abstract

Background

Sarcoidosis is a chronic, systemic granulomatous disease of unknown etiology that features noncaseating granulomas in many body regions. Sinonasal involvement is rare but is also suspected to be underreported.

Case presentation

We present the case of a 39-year-old woman who was incidentally diagnosed with isolated sarcoidosis involving the middle turbinates. Histopathologic examination of resected concha bullosa material and an extensive panel of diagnostic tests revealed a diagnosis of isolated sarcoidosis. Since no systemic manifestations were detected, topical corticosteroid (nasal spray) was administered in the postoperative period. Throughout the 12 months after surgery, the patient remained free of symptoms and all nasal endoscopy examinations were normal.

Conclusion

Although isolated nasal involvement of sarcoidosis is rare, otorhinolaryngologists should consider this condition in a differential diagnosis for sinonasal complaints.