title: Sarcoidosis Presenting as Necrotizing Sarcoid Granulomatosis of the Liver, Sclerosing Cholangitis, and Gastric Ulcer.
abstract: Sarcoidosis is a multisystem granulomatous disease. The liver is affected in up to 50-90% of cases. Sarcoidosis typically presents as non-necrotizing epithelioid granuloma. The occurrence of non-infective necrotizing sarcoid granuloma (NSG) is infrequent, and the finding of NSG in the liver is rare. We report a case of NSG of the liver and lymph nodes, granulomatous gastric ulcer, and secondary cholangitis coexisting in a patient. We discuss the clinical features of the case and briefly review NSG. There is only 1 previously reported case of NSG of the liver in literature.
authors.affiliation: University of Kentucky, Digestive Diseases and Nutrition, Lexington, KY.
authors.forename: Njideka
authors.initials: N
authors.lastname: Momah
authors.affiliation: University of Kentucky, College of Medicine, Lexington, KY.
authors.forename: Adetola
authors.initials: A
authors.lastname: Otesile
authors.affiliation: University of Kentucky, Digestive Diseases and Nutrition, Lexington, KY.
authors.forename: Rishi
authors.initials: R
authors.lastname: Pawa
authors.affiliation: University of Kentucky, Digestive Diseases and Nutrition, Lexington, KY.
authors.forename: Steve
authors.initials: S
authors.lastname: Shedlofsky