Chronic Hepatitis with Liver Granulomas in a Patient with Granuloma Annulare: A Case Report and Review of the Literature.
Granuloma annulare (GA) is a benign granulomatous skin disorder of unknown etiology. GA is rarely associated with liver diseases. We report a unique case of chronic hepatitis with liver granulomas in a patient with GA. Despite an extensive workup, no clear etiology for the hepatitis was found. Based on the possible immune pathophysiology of GA and the presence of liver granulomas, the patient was treated with prednisone and azathioprine which resulted in complete normalization of the liver enzymes and concurrent improvement of GA. The association between liver diseases and GA is reviewed.
Division of Gastroenterology, University of British Columbia, Vancouver, BC, Canada; Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Majid
0000-0002-9076-536X
M
Alsahafi
Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.
Mohammed I
MI
AlJasser
Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.
Sunil
S
Kalia
Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
H M
HM
Yang
Division of Gastroenterology, University of British Columbia, Vancouver, BC, Canada.
Alnoor
A
Ramji