Sarcoidosis presenting as necrotizing sinus destruction mimicking Wegener's granulomatosis

J Rheumatol. 2000 Feb;27(2):512-4.


We describe a 26-year-old man who developed nasal stuffiness and palatal destruction. Biopsy of a mass in the ethmoid sinus confirmed sarcoidosis. Treatment was initiated with oral steroid and methotrexate, with marked improvement in his symptoms. Although paranasal sinus involvement in sarcoidosis is rare it should be considered in differential diagnosis of diseases causing palatal or paranasal sinus destruction.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Granulomatosis with Polyangiitis / diagnosis*
  • Granulomatosis with Polyangiitis / physiopathology
  • Humans
  • Male
  • Paranasal Sinuses / pathology*
  • Sarcoidosis / diagnosis*
  • Sarcoidosis / pathology
  • Sarcoidosis / physiopathology