Cutaneous sarcoid

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Cutaneous sarcoidosis, false color view of Cutaneous sarcoidosis, irregular vocal cord margin during stroboscopy, 30 degree endoscopic view of vocal cord sarcoid lesions, 70 degree endoscopic view of vocal cord sarcoid lesions, surgical microscopic view of vocal cord sarcoid lesions, cutaneous vocal cord sarcoid, vocal cord sarcoid

Patient with two years of hoarseness. She has sarcoid of her skin for many years which has been treated with steroid injections.

Cutaneous sarcoidosisfalse color view of Cutaneous sarcoidosisirregular vocal cord margin during stroboscopy

She underwent biopsies of her vocal cords which showed non-caseating granulomas and chronic inflammation consistent with sarcoid. 

Operative photos:

30 endoscope view

30 degree endoscopic view of vocal cord sarcoid lesions

70 degree endoscope view

70 degree endoscopic view of vocal cord sarcoid lesions

Microscope view

surgical microscopic view of vocal cord sarcoid lesions

The deposits on her vocal cords keep them from coming together completely during phonation. The deposits are also firm and do not vibrate well during stroboscopy. She also has deposits beneath the vocal cords along the cricoid cartilage. 

Several months after the laser treatment of the right vocal cord margin, her voice is improved.

cutaneous vocal cord sarcoidvocal cord sarcoid