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Vol. 6, No. 1, 2012
Issue release date: January – April
Section title: Published: April 2012

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Case Rep Gastroenterol 2012;6:183–189
(DOI:10.1159/000338355)

Hepatic Sarcoidosis Presenting as Portal Hypertension and Liver Cirrhosis: Case Report and Review of the Literature

Tan C.B.a · Rashid S.c · Rajan D.a · Gebre W.b · Mustacchia P.c
Departments of aInternal Medicine, bPathology and cGastroenterology, Nassau University Medical Center, East Meadow, N.Y., USA

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Abstract

Systemic sarcoidosis is a disease of unknown etiology, with the liver being the third most commonly affected organ. Most cases of hepatic sarcoidosis are not clinically apparent, but a few can progress to liver cirrhosis, portal hypertension and ultimately liver failure. The diagnosis of hepatic sarcoidosis is difficult, considering that no single laboratory test or radiographic finding can definitively diagnose this systemic disease. Diagnosis of hepatic sarcoidosis relies heavily on histopathologic evaluation of two or more organs, a diagnostic modality that is invasive and may not be applicable to all patients. The treatment of hepatic sarcoidosis is challenging, with no large randomized controlled trials done to date. Physicians must be aware of the complications of hepatic sarcoidosis, and must include the same in the differential diagnosis of liver cirrhosis. We present a case of hepatic sarcoidosis complicated by portal hypertension and liver cirrhosis.

© 2012 S. Karger AG, Basel


  

Author Contacts

Christopher B. Tan
2201 Hempstead Turnpike
East Meadow, NY 11554 (USA)
Tel. +1 516 572 6501, E-Mail ctan@numc.edu

  

Article Information

Published online: April 18, 2012
Number of Print Pages : 7
Number of Figures : 3, Number of Tables : 1,

  

Publication Details

Case Reports in Gastroenterology

Vol. 6, No. 1, Year 2012 (Cover Date: January - April)

Journal Editor: Urrutia R. (Rochester, Minn.), Lomberk G. (Rochester, Minn.)
ISSN: 1662-0631 (Print), eISSN: 1662-0631 (Online)

For additional information: http://www.karger.com/CRG


Article / Publication Details

First-Page Preview
Abstract of Published: April 2012

Published online: 4/18/2012
Issue release date: January – April

Number of Print Pages: 7
Number of Figures: 3
Number of Tables: 1

ISSN: (Print)
eISSN: 1662-0631 (Online)

For additional information: http://www.karger.com/CRG


Open Access License / Drug Dosage

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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