Saddle nose with sarcoidosis: “A great imitator” of relapsing polychondritis

Abstract

Sarcoidosis is a systemic granulomatous disease that can affect any organ including the nose. Nasal crusting and congestion are common nasal symptoms of sarcoidosis, whereas cases of saddle-nose deformity are rarely reported. We describe here a case of sarcoidosis that presented with saddle nose resembling relapsing polychondritis. Since sarcoidosis shares clinical features with relapsing polychondritis, the differential diagnosis of saddle nose can be challenging without a clear pathology.

Keywords:

• Propionibacterium acnes
• Sarcoidosis
• Saddle nose

Acknowledgments

We thank Dr. Hitoshi Ogawa (Division of Rheumatology and Allergy, Department of Internal Medicine, St. Marianna University School of Medicine) for performing serological tests for relapsing polychondritis.

Conflict of interest

None.