Tuberc Respir Dis.  2008 Aug;65(2):121-124.

Sarcoidosis Initially Presenting as a Nasal Cavity Mass Misdiagnosed as Tuberculosis

• Chae DR
• Lim SU
• Cho GJ
• Lim JH
• Ju JY
• Kwon YS
• Oh IJ
• Kim KS
• Kim YI
• Lim SC
• Kim YC

Abstract

We experienced a rare case of sinonasal sarcoidosis initially presenting as nasal cavitary mass. When the clinical course was different from that of typical tuberculosis, physician should think the possibility of sarcoidosis, and re-biopsy or retrospective review of pathological findings might be helpful.

Keyword

Nasal cavity; Sarcoidosis; Tuberculosis

MeSH Terms

Nasal Cavity
Retrospective Studies
Sarcoidosis
Tuberculosis

Figure

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  Figure 1 Endoscopic findings of nose shows massive hypertrophy of nasal septum and inferior turbinate.

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  Figure 2 Coronal nasal CT shows soft tissue density (thin arrow) filling in both inferior ethmoid sinus, round soft tissue attenuated lesion (arrow head) in left maxillary sinus and lining mucosal thickening (thick arrow) of nasal septum and inferior turbinate.

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  Figure 3 The nasal biopsy specimen shows multiple non-caseating granulomas. Granular necrosis is also visible in this specimen (H&E stain, ×200).

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  Figure 4 Chest CT shows multiple hilar lymphadenopathies (A). Multiple small nodules with peribronchovascular distribution, and small branching structures in RML (B).

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