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J Cosmet Med 2017; 1(1): 60-62

Published online June 30, 2017

https://doi.org/10.25056/JCM.2017.1.1.60

Scar sarcoidosis following blepharoplasty: a case report

Ji-Sang Min, MD, Eun-Jung Sohn, MD, Ji-Young Suh, MD, Hee-Bae Ahn, MD, PhD

Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea

Correspondence to :
Hee-Bae Ahn, Department of Ophthalmology, Dong-A University College of Medicine, 26, Dongdaeshin-ro, Seo-gu, Busan 49201, Korea
Tel: 82-51-240-5227, Fax: 82-51-254-1987, E-mail: hbahn@dau.ac.kr

Received: December 28, 2016; Revised: March 23, 2017; Accepted: April 19, 2017

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Few cases have been previously reported regarding scar sarcoidosis following blepharoplasty. We report the case of a patient that developed sarcoidosis of a scar following a blepharoplasty procedure. A 41-year-old woman had a one-month history of bead-shaped masses along her right upper eyelid. The patient underwent blepharoplasty 20 years ago. We performed excisional biopsy. Histopathological examination revealed a chronic non-caseating granuloma. Results of other tests were normal, including urinalysis, blood tests, and chest radiograph. Polymerase chain reaction (PCR) did not demonstrate evidence of tuberculosis, and a culture test for microbes showed no evidence of infection. She was diagnosed with sarcoidosis of the eyelid, and was prescribed an oral steroid. Once no evidence of recurrence was noted 3 months after the operation, the oral steroid dose was tapered off over an 8-week period. This case represents a rare occurrence of sarcoidosis that developed in the incisional scar after blepharoplasty. Sarcoidosis of the incisional scar should be considered as a differential diagnosis for an unusual mass that develops in a scar following blepharoplasty.

Keywords: biopsy, blepharoplasty, case report, excision, sarcoidosis, scar

  1. Newman LS, Rose CS, Maier LA. Sarcoidosis. N Engl J Med 1997;336:1224-34.
    Pubmed CrossRef
  2. James DG. Ocular sarcoidosis. Ann N Y Acad Sci 1986;465:55163.
    CrossRef
  3. Kocak C, Y?cel E, Namdar ND, Tak H. A case of scar sarcoidosis developing in an old scar area on the forehead. Acta Dermatovenerol Alp Pannonica Adriat 2015;24:61-3.
    CrossRef
  4. Tawfik HA, Assem M, Elkafrawy MH, Talib NM. Scar sarcoidosis developing 16 years after complete excision of an eyelid Basal carcinoma. Orbit 2008;27:438-40.
    Pubmed CrossRef
  5. Kim YJ, Kim YD. A case of scar sarcoidosis of the eyelid. Korean J Ophthalmol 2006;20:238-40.
    Pubmed KoreaMed CrossRef
  6. Murdoch SR, Fenton DA. Sarcoidosis presenting as nodules in both tattoos and scars. Clin Exp Dermatol 1997;22:254-5.
    CrossRef
  7. Kim H, Seol JE, Park IH, Kang JN, Sung HS, Jung SY. Scar sarcoidosis arising from various types of traumatized skin. Korean J Dermatol 2014;52:337-40.
  8. Demirci H, Christianson MD. Orbital and adnexal involvement in sarcoidosis: analysis of clinical features and systemic disease in 30 cases. Am J Ophthalmol 2011;151:1074-80.e1.
    Pubmed CrossRef
  9. Prabhakaran VC, Saeed P, Esmaeli B, Sullivan TJ, McNab A, Davis G, et al. Orbital and adnexal sarcoidosis. Arch Ophalmol 2007;125:1657-62.
    Pubmed CrossRef

Article

Case Report

J Cosmet Med 2017; 1(1): 60-62

Published online June 30, 2017 https://doi.org/10.25056/JCM.2017.1.1.60

Copyright © Korean Society of Korean Cosmetic Surgery.

Scar sarcoidosis following blepharoplasty: a case report

Ji-Sang Min, MD, Eun-Jung Sohn, MD, Ji-Young Suh, MD, Hee-Bae Ahn, MD, PhD

Department of Ophthalmology, Dong-A University College of Medicine, Busan, Korea

Correspondence to:Hee-Bae Ahn, Department of Ophthalmology, Dong-A University College of Medicine, 26, Dongdaeshin-ro, Seo-gu, Busan 49201, Korea
Tel: 82-51-240-5227, Fax: 82-51-254-1987, E-mail: hbahn@dau.ac.kr

Received: December 28, 2016; Revised: March 23, 2017; Accepted: April 19, 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Few cases have been previously reported regarding scar sarcoidosis following blepharoplasty. We report the case of a patient that developed sarcoidosis of a scar following a blepharoplasty procedure. A 41-year-old woman had a one-month history of bead-shaped masses along her right upper eyelid. The patient underwent blepharoplasty 20 years ago. We performed excisional biopsy. Histopathological examination revealed a chronic non-caseating granuloma. Results of other tests were normal, including urinalysis, blood tests, and chest radiograph. Polymerase chain reaction (PCR) did not demonstrate evidence of tuberculosis, and a culture test for microbes showed no evidence of infection. She was diagnosed with sarcoidosis of the eyelid, and was prescribed an oral steroid. Once no evidence of recurrence was noted 3 months after the operation, the oral steroid dose was tapered off over an 8-week period. This case represents a rare occurrence of sarcoidosis that developed in the incisional scar after blepharoplasty. Sarcoidosis of the incisional scar should be considered as a differential diagnosis for an unusual mass that develops in a scar following blepharoplasty.

Keywords: biopsy, blepharoplasty, case report, excision, sarcoidosis, scar

References

  1. Newman LS, Rose CS, Maier LA. Sarcoidosis. N Engl J Med 1997;336:1224-34.
    Pubmed CrossRef
  2. James DG. Ocular sarcoidosis. Ann N Y Acad Sci 1986;465:55163.
    CrossRef
  3. Kocak C, Y?cel E, Namdar ND, Tak H. A case of scar sarcoidosis developing in an old scar area on the forehead. Acta Dermatovenerol Alp Pannonica Adriat 2015;24:61-3.
    CrossRef
  4. Tawfik HA, Assem M, Elkafrawy MH, Talib NM. Scar sarcoidosis developing 16 years after complete excision of an eyelid Basal carcinoma. Orbit 2008;27:438-40.
    Pubmed CrossRef
  5. Kim YJ, Kim YD. A case of scar sarcoidosis of the eyelid. Korean J Ophthalmol 2006;20:238-40.
    Pubmed KoreaMed CrossRef
  6. Murdoch SR, Fenton DA. Sarcoidosis presenting as nodules in both tattoos and scars. Clin Exp Dermatol 1997;22:254-5.
    CrossRef
  7. Kim H, Seol JE, Park IH, Kang JN, Sung HS, Jung SY. Scar sarcoidosis arising from various types of traumatized skin. Korean J Dermatol 2014;52:337-40.
  8. Demirci H, Christianson MD. Orbital and adnexal involvement in sarcoidosis: analysis of clinical features and systemic disease in 30 cases. Am J Ophthalmol 2011;151:1074-80.e1.
    Pubmed CrossRef
  9. Prabhakaran VC, Saeed P, Esmaeli B, Sullivan TJ, McNab A, Davis G, et al. Orbital and adnexal sarcoidosis. Arch Ophalmol 2007;125:1657-62.
    Pubmed CrossRef

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