Improving cosmesis of lupus pernio by excision and forehead flap reconstruction

Authors: Smith, R.; Haeney, J.; Gulraiz Rauf, Kh.

Source: Clinical & Experimental Dermatology, Volume 34, Number 5, July 2009 , pp. e25-e27(3)

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Abstract:

Summary

Sarcoidosis is a granulomatous multiorgan disease that frequently affects the skin. Lupus pernio (LP) is a cutaneous presentation resulting in violaceous discolouration and swelling of the nose. We report a severe case resistant to conventional treatment, which ultimately underwent nasal resurfacing by forehead flap rhinoplasty. Flap reconstruction has not previously been reported for deforming LP. We review the long-term outcome and advocate consideration of plastic surgery input in severe disease resistant to medical treatments.

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1365-2230.2008.03141.x

Publication date: 2009-07-01