J Cosmet Med.  2017 Jun;1(1):60-62. 10.25056/JCM.2017.1.1.60.

Scar sarcoidosis following blepharoplasty: a case report

• Min JS
• Sohn EJ
• Suh JY
• Ahn HB

• KMID: 2561209
• DOI: http://doi.org/10.25056/JCM.2017.1.1.60

Abstract

Few cases have been previously reported regarding scar sarcoidosis following blepharoplasty. We report the case of a patient that developed sarcoidosis of a scar following a blepharoplasty procedure. A 41-year-old woman had a one-month history of beadshaped masses along her right upper eyelid. The patient underwent blepharoplasty 20 years ago. We performed excisional biopsy. Histopathological examination revealed a chronic non-caseating granuloma. Results of other tests were normal, including urinalysis, blood tests, and chest radiograph. Polymerase chain reaction (PCR) did not demonstrate evidence of tuberculosis, and a culture test for microbes showed no evidence of infection. She was diagnosed with sarcoidosis of the eyelid, and was prescribed an oral steroid. Once no evidence of recurrence was noted 3 months after the operation, the oral steroid dose was tapered off over an 8-week period. This case represents a rare occurrence of sarcoidosis that developed in the incisional scar after blepharoplasty. Sarcoidosis of the incisional scar should be considered as a differential diagnosis for an unusual mass that develops in a scar following blepharoplasty.

Keyword

biopsy; blepharoplasty; case report; excision; sarcoidosis; scar