A case series of five patients with hepatic sarcoidosis diagnosed by liver biopsy

  • Sho Mitsuhiro
    Department of Hepatology, Graduate School of Medicine, Osaka City University Fujiidera Municipal Hospital
  • Enomoto Masaru
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Kotani Kohei
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Odagiri Naoshi
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Yoshida Kanako
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Motoyama Hiroyuki
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Kozuka Ritsuzo
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Fujii Hideki
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Hagihara Atsushi
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Uchida-Kobayashi Sawako
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Morikawa Hiroyasu
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Murakami Yoshiki
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Tamori Akihiro
    Department of Hepatology, Graduate School of Medicine, Osaka City University
  • Kawada Norifumi
    Department of Hepatology, Graduate School of Medicine, Osaka City University

Bibliographic Information

Other Title
  • 肝機能障害を契機に診断されたサルコイドーシス5例の検討
  • カン キノウ ショウガイ オ ケイキ ニ シンダン サレタ サルコイドーシス 5レイ ノ ケントウ

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Abstract

<p>Sarcoidosis is typically characterized by the presence of lesions in the lungs, heart, eyes, and skin. However, in some cases, lesions have also been found in the liver. Although the diagnosis of hepatic sarcoidosis is difficult, liver biopsy can occasionally offer a definite diagnosis when blood test results indicate liver dysfunction of an unknown etiology. We encountered five cases of hepatic sarcoidosis at our hospital that were diagnosed based on liver dysfunction and compared these cases with previously reported cases. In our case series, hepatic sarcoidosis was predominantly diagnosed in middle-aged women, and biliary enzymes were elevated in most cases. Corticosteroids, ursodeoxycholic acid, or both were used for treatment. Despite the application of these therapies, some patients progressed to showing cirrhosis or even died. Thus, in cases with severe hepatitis, steroid therapy may not be effective and cirrhosis may develop. Moreover, the findings suggest that ursodeoxycholic acid can help in delaying the progression of hepatic sarcoidosis.</p>

Journal

  • Kanzo

    Kanzo 60 (11), 405-413, 2019-11-01

    The Japan Society of Hepatology

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