Ann Clin Otolaryngol | Volume 2, Issue 1 | Case Report | Open Access

Orbital Sarcoidosis Masquerading as Acute Frontal Sinusitis

Joshua B Greene^1*, Christian George² and Robert Deeb¹

¹Department of Otolaryngology-Head & Neck Surgery, Henry Ford Health System, USA
²Department of Ophthalmology, Henry Ford Health System, USA

^*Correspondance to: Joshua B Greene 

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Abstract

Sarcoidosis is a chronic systemic disease that rarely manifests within the sinuses or orbit. A 65-yearold female presented with 2 weeks of eye proptosis and forehead pressure. A computed tomographyscan revealed frontal sinus opacification. The initial diagnosis of orbital cellulitis secondary to frontal sinus infection was made but symptoms returned after medical therapy. Biopsy of preaponeurotic fat revealed non-caseating granuloma, consistent with sarcoidosis. Extrapulmonary involvement by sarcoidosis is observed in ~30-40% of patients; however, orbital sarcoidosis presents as the initial manifestation in only 1.5-12.4% of patients. The presentation is often confounded by sinonasalsymptoms, which may delay the diagnosis.

Citation:

Greene JB, George C, Deeb R. Orbital Sarcoidosis Masquerading as Acute Frontal Sinusitis. Ann Clin Otolaryngol. 2017;2(1):1008.