Open AccessExtrapulmonary Sarcoidosis Manifested as Cirrhosis with Portal Hypertension
Author(s) -
Sunil Raviraj Kothakota,
Ajith K. Nair,
Madhu Sasidharan,
K Harish,
Chitresh Kumar,
Jagadeswarareddy Kanala
Publication year - 2021
Publication title -
middle east journal of digestive diseases./middle east journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.146
H-Index - 2
eISSN - 2008-5249
pISSN - 2008-5230
DOI - 10.34172/mejdd.2021.220
Subject(s) - sarcoidosis , ursodeoxycholic acid , portal hypertension , cirrhosis , medicine , histopathology , gastroenterology , pathology
Hepatic involvement has been reported in 20-30% of patients with systemic sarcoidosis. However, isolated liver involvement is rare. We report a case of cirrhosis with portal hypertension, diagnosed as hepatic sarcoidosis based on high angiotensin-converting enzyme level and presence of multiple non-caseating granulomas in liver histopathology. She improved clinically after treatment with steroid and ursodeoxycholic acid.