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Article citations


Khammassi, N., Kwas, H., Bayoudh, A., Abdelhedi, H., Zendah, I., Cherif, I., et al. (2014) Systemic Sarcoidosis Revealed by an Involvement of the Nasal Sinuses. La Tunisie Médicale, 92, 181-183.

has been cited by the following article:

  • TITLE: Systemic Sarcoidosis Revealed by a Nasal Lesion: A Case Report

    AUTHORS: Madiha Mahfoudhi, Khaled Khammassi, Sami Turki, Mamia Ben Salah

    KEYWORDS: Sarcoidosis, Nose, Granuloma, Corticosteroids

    JOURNAL NAME: International Journal of Clinical Medicine, Vol.6 No.4, April 16, 2015

    ABSTRACT: A 62-year-old man presented with bilateral nasal obstruction and recurrent epistaxis episodes. Physical examination revealed normal body temperature and free cervical lymph nodes areas. Nasal endoscopy found a congestive nasal mucosa associated to bilateral inferior turbinate hypertrophy with a granular aspect of the right inferior turbinate. The biological examination showed lymphopenia, inflammatory syndrome, high serum level of angiotensin-converting enzyme and β2 microglobulin. Tuberculin skin test and Quantiferon gold were negative. The nasal and accessory salivary gland biopsies revealed granulomatous giant cell lesions non-caseating evoking systemic sarcoidosis. Ziehl-Neelsen staining and Lowenstein culture were negative. The diagnosis was systemic sarcoidosis revealed by nasal localization. The systemic extension research was negative. The treatment was based on corticosteroids (1 mg/kg/day) and gradual degression doses associated to a local nasal corticosteroid. The outcome was favorable with improvement of nasal obstruction and disappearance of initial lesions. The follow-up was 2 years.