title: [A case of hepatic sarcoidosis presenting with cirrhotic symptoms].
abstract: A man in 40s with skin sarcoidosis presented with signs and symptoms of liver injury and thrombocytopenia. Enhanced computed tomography and magnetic resonance imaging revealed cholecystolithiasis, hepatic deformation, and giant splenomegaly. Gastrointestinal endoscopy showed esophageal varices. Cholecystectomy, splenectomy, and wedge biopsy of the liver were performed. Histopathology of the liver revealed many granulomas and severe periportal fibrosis without lobular reconstruction. These findings were compatible with hepatic sarcoidosis, but not liver cirrhosis. Here we report a rare case of hepatic sarcoidosis presenting with cirrhotic symptoms.
authors.affiliation: Department of Internal Medicine (Gastroenterology), Toyama Prefectural Central Hospital.
authors.forename: Kiichiro
authors.initials: K
authors.lastname: Kaji
authors.forename: Hidero
authors.initials: H
authors.lastname: Ogino
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hirai
authors.forename: Akiyoshi
authors.initials: A
authors.lastname: Shimatani
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Horita
authors.forename: Kouichiro
authors.initials: K
authors.lastname: Matsuda
authors.forename: Katsushi
authors.initials: K
authors.lastname: Hiramatsu
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Matsuda
authors.forename: Koichi
authors.initials: K
authors.lastname: Shimizu
authors.forename: Yuko
authors.initials: Y
authors.lastname: Nakanishi
authors.forename: Yatsugi
authors.initials: Y
authors.lastname: Noda
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008103:Liver Cirrhosis / Q000175:diagnosis; D008107:Liver Diseases / Q000473:pathology*; D008297:Male; D012507:Sarcoidosis / Q000473:pathology*