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Article: Volume 33 Number 2 Page 112 - March 2006

  Dent Update 2006; 33: 112-114  Read article

Oral medicine:  Sarcoidosis Presenting as an Isolated Facial Swelling – An Unexpected Diagnosis?

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Abstract: Sarcoidosis is a rare chronic granulomatous disease of unknown aetiology that primarily affects individuals between 30 and 50 years of age. It is usually characterized by the presence of non-caseating, granulomatous, epithelioid tissue at the sites affected withinvolvement of lymphoid tissue. Sarcoidosis confined to lymph nodes, salivary glands and other tissue in the head and neck is uncommon and usually indicative of a more generalized systemic process. We report a case of systemic sarcoidosis presenting as a small localized facial swelling. The report illustrates that other symptoms, albeit mild, may direct the clinician to a provisional diagnosis of generalized sarcoidosis.

Clinical relevance: Within the differential diagnosis of isolated facial swellings, sarcoidosis is extremely uncommon. However, clinicians should consider the diagnosis, especially in the presence of other, albeit mild, symptoms.

Author notes: J M Yates, BSc(Hons), BDS, PhD, MFDS RCPS, FDS (OS) RCPS, Lecturer, Oral and Maxillofacial Surgery, School of Clinical Dentistry, Claremont Crescent, Sheffield S10 2TA and A J Dickenson, BDS, MBBS, FRCS, FDS RCS, Consultant, Oral and Maxillofacial Surgery, Derby Royal Infirmary, London Road, Derby DE1 2QY, UK.

Objective: To describe a case of sarcoidosis presenting as a facial swelling.

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