Document Detail


Sarcoidosis of the upper respiratory tract and its association with lupus pernio.
MedLine Citation:
PMID:  1013937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a series of 34 patients with sarcoidosis affecting the upper respiratory tract and nose, 26 had lupus pernio (LP) and 17 had sarcoidosis of the upper respiratory tract (SURT). In nine patients these features coexisted. A patient presenting with SURT carried a 50% risk of developing LP although one feature could be present without the other. Both were disorders of women of the child-bearing years of life. SURT, like LP, was an indicator of chronic fibrotic sarcoidosis, developing insidiously and progressing indolently over the years. It was complicated by ulceration, septal perforation, and LP. Three patients had nasal septal perforations, in two instances following submucous resection. This operation is contraindicated in patients with active sarcoidosis, particularly when granulomas are found on nasal biopsy. The Kveim-Siltzbach skin test was positive in all patients with SURT, making it invaluable in the differential diagnosis of granuloma of the nasal cavity.
Authors:
E Neville; R G Mills; D K Jash; D M Mackinnon; L S Carstairs; D G James
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Thorax     Volume:  31     ISSN:  0040-6376     ISO Abbreviation:  Thorax     Publication Date:  1976 Dec 
Date Detail:
Created Date:  1977-03-21     Completed Date:  1977-03-21     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0417353     Medline TA:  Thorax     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  660-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Child
Diagnosis, Differential
Female
Granuloma / diagnosis
Humans
Kveim Test
Male
Middle Aged
Nasal Mucosa / pathology
Nose Diseases / complications
Respiratory Tract Diseases / complications*
Sarcoidosis / complications*,  diagnosis
Sex Factors
Skin Manifestations*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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