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Primary presentation of sarcoidosis with profound bilateral sensorineural hearing loss
  1. Gargi Pandey,
  2. Fiona McClenaghan and
  3. Robert Nash
  1. Ear, Nose and Throat Surgery Department, Great Ormond Street Hospital For Children NHS Trust, London, UK
  1. Correspondence to Dr Gargi Pandey; gargi.pandey{at}


We present a case of a 7-year-old Afro-Caribbean girl presenting with rapidly progressive bilateral sensorineural hearing loss. She was found to have an elevated Angiotensin converting enzyme (ACE) and mediastinal lymphadenopathy containing non-caseating granulomas with multinucleate giant cells, in keeping with sarcoidosis. Cranial imaging demonstrated labyrinthitis. She underwent urgent bilateral cochlear implantation with rehabilitation of hearing sufficient to restart education within 1 month.

  • ear
  • nose and throat/otolaryngology
  • general practice/family medicine
  • neuro-otology

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  • Contributors The patient was under the primary care of RN, consultant ENT surgeon. She was also taken care of in theatres and the wards by FM and GP. All 3 authors contributed to the report of the case and editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.