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. 2018 Sep 5;6(10):2023-2024.
doi: 10.1002/ccr3.1741. eCollection 2018 Oct.

Sarcoidosis presenting with facial swelling (Heerfordt syndrome)

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Sarcoidosis presenting with facial swelling (Heerfordt syndrome)

Satish Maharaj et al. Clin Case Rep. .

Abstract

Sarcoidosis is one of the "great masqueraders" of medicine and can present with atypical facial swelling. Imaging and biopsy confirm the diagnosis.

Keywords: Heerfordt syndrome; parotid swelling; sarcoidosis.

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Figures

Figure 1
Figure 1
MRI revealed asymmetric enlargement of the right parotid gland involving both superficial and deep lobes
Figure 2
Figure 2
H&E, 100× magnification, demonstrates a non‐necrotizing granuloma composed of confluent nodular configuration of histiocytes and foreign body giant cells with intermixed lymphocytes and salivary ducts
Figure 3
Figure 3
H&E, 400× magnification, demonstrates a foreign body giant cell with an inclusion body (Schaumann body) present, a finding consistent with sarcoidosis in the correct clinical setting

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