Hepatic sarcoidosis resembling primary sclerosing cholangitis

Ying Chen; Camelia Ciobanu; Laurel Mohrmann

doi:10.1136/bcr-2021-243492

Hepatic sarcoidosis resembling primary sclerosing cholangitis

BMJ Case Rep. 2021 Sep 7;14(9):e243492. doi: 10.1136/bcr-2021-243492.

Authors

Ying Chen¹, Camelia Ciobanu², Laurel Mohrmann³

Affiliations

¹ Internal Medicine, Montefiore Medical Center, Bronx, New York, USA ychen3@montefiore.org.
² Internal Medicine, St. Barnabas Hospital, Bronx, NY, USA.
³ Hospital Medicine, Montefiore Medical Center, Bronx, New York, USA.

Abstract

We report the case of a 29-year-old man who presented with progressive weight loss, night sweats, abdominal pain and pruritus who was found to have obstructive jaundice and cholestatic pattern of liver injury on laboratory workup. Though findings on magnetic resonance cholangiopancreatography were initially concerning primary sclerosing cholangitis, he was ultimately diagnosed with biliary sarcoidosis after a liver biopsy. This case brings attention to the rare phenomenon of hepatic sarcoidosis causing hyperbilirubinemia and highlights the importance of reaching the correct diagnosis early, as the patient's symptoms improved after initiation of steroids.

Keywords: gastrointestinal system; liver disease; pancreas and biliary tract.

Publication types

Case Reports

MeSH terms

Adult
Cholangiopancreatography, Magnetic Resonance
Cholangitis, Sclerosing* / diagnosis
Cholangitis, Sclerosing* / drug therapy
Cholestasis*
Humans
Jaundice, Obstructive*
Male
Sarcoidosis* / diagnosis
Sarcoidosis* / drug therapy