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KMID : 0361020070500080716
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Korean Journal of Otolaryngology - Head and Neck Surgery
2007 Volume.50 No. 8 p.716 ~ p.718
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A Case of Ethmoidal Sarcoidosis
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Lee Jeong-Hak
Kim Nam-Sik
Cho Jin-Hee
Lee Yeon-Soo
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Abstract
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Sarcoidosis is a multisystemic, chronic granulomatous disease of unknown etiology. Most commonly, it involves the lung parenchyme and hilar lymph nodes. Head and neck involvement is found in 9% of the patients, with sinonasal involvement demonstrated only in 1% of these patients. Diagnosis is usually performed according to the clinical, laboratory, radiographic and histological features and by excluding other granulomatous diseases. Of these features, the histologic finding is a major diagnostic tool. In sinonasal sarcoidosis, the most common symptoms are nasal obstruction and crusting, and the most consistent finding was an edematous, friable, erythematous and hypertrophied mucosa. The clinical course is variable and there is no consensus about the treatment options. But, the systemic corticosteroid is the mainstay of treatment. We report a case of ethmoidal sarcoidosis which was successfully managed by endoscopic sinus surgery along with systemic corticosteroid. To our knowledge, this is the first report of sinonasal sarcoidosis in Korea.
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KEYWORD
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Sarcoidosis, Ethmoid sinus, Endoscopic sinus surgery, Corticosteroid
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