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Scar sarcoidosis following blepharoplasty: a case report

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¹ÎÁö»ó, Sohn Eun-Jung, ¼­Áö¿µ, ¾ÈÈñ¹è,
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¹ÎÁö»ó ( Min Ji-Sang ) 
Dong-A University College of Medicine Department of Ophthalmology

 ( Sohn Eun-Jung ) 
Dong-A University College of Medicine Department of Ophthalmology
¼­Áö¿µ ( Suh Ji-Young ) 
Dong-A University College of Medicine Department of Ophthalmology
¾ÈÈñ¹è ( Ahn Hee-Bae ) 
Dong-A University College of Medicine Department of Ophthalmology

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.

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biopsy; blepharoplasty; case report; excision; sarcoidosis; scar

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