A rare case of sarcoidosis affecting the nasopharynx

Abstract

Sarcoidosis is a rare condition, presenting with granulomatous lesions typically located in the lungs, spleen and lymph nodes. We present an atypical case of sarcoidosis, with an initial lesion located in the nasopharynx. The patient is a 38-year-old male, with the complaints of cephalalgia, nasal obstruction and hyposmia, detected during further examination with degenerative spinal modifications, prostate inflammation and lung-based sarcoidosis. A biopsy of the lesion located in the postnasal cavity revealed granulomatous origin. The patient underwent total endoscopic adenoid removal and radiofrequency-assisted bilateral turbinate reduction, with favourable post operatory evolution. Atypical localizations of sarcoidosis lesions must be considered in the case of unusual lesions, regardless of localisation.

A Rare Incidental Diagnosis After Adenoidectomy: Sarcoidosis

“…Approximately 16% of the cases are asymptomatic at diagnosis ( 2 ). Since sinonasal involvement presents non-specific rhinitis symptoms, the diagnosis of sarcoidosis can be missed due to possible pathologies such as septum deviation, allergic rhinitis, turbinate hypertrophy in the same patients ( 6 ). In their 2022 article Benettini et al ( 7 ) presented two cases of nasopharyngeal sarcoidosis and reviewed the relevant literature.…”