RT Journal Article SR Electronic T1 Sarcoidosis of the upper respiratory tract and its association with lupus pernio. JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 660 OP 664 DO 10.1136/thx.31.6.660 VO 31 IS 6 A1 E Neville A1 R G Mills A1 D K Jash A1 D M Mackinnon A1 L S Carstairs A1 D G James YR 1976 UL http://thorax.bmj.com/content/31/6/660.abstract AB In a series of 34 patients with sarcoidosis affecting the upper respiratory tract and nose, 26 had lupus pernio (LP) and 17 had sarcoidosis of the upper respiratory tract (SURT). In nine patients these features coexisted. A patient presenting with SURT carried a 50% risk of developing LP although one feature could be present without the other. Both were disorders of women of the child-bearing years of life. SURT, like LP, was an indicator of chronic fibrotic sarcoidosis, developing insidiously and progressing indolently over the years. It was complicated by ulceration, septal perforation, and LP. Three patients had nasal septal perforations, in two instances following submucous resection. This operation is contraindicated in patients with active sarcoidosis, particularly when granulomas are found on nasal biopsy. The Kveim-Siltzbach skin test was positive in all patients with SURT, making it invaluable in the differential diagnosis of granuloma of the nasal cavity.