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Hepatic sarcoidosis masquerading as tuberculosis

BIJAY MISRA, Debasis Misra, Ayaskanta Singh, Girish Kumar Pati, Sanjib Kumar Kar, Manas Kumar Panigrahi, Haribhakti Seba Das, Chitta Ranjan Panda, Pranati Misra, Rabi Narayan Mallik, Shivaram Prasad Singh
Published in : HAMDAN MEDICAL JOURNAL ; Vol 9, No 3 (2016)
DOI : 10.7707/hmj.472


Sarcoidosis is a systemic granulomatous disease of unknown aetiology. Hepatic involvement is frequent in sarcoidosis and is commonly asymptomatic. We report the case of a 50-year-old woman who presented with antitubercular therapy (ATT)-induced hepatotoxicity. The patient was prescribed ATT for hepatic tuberculosis, which was diagnosed incidentally during laparoscopic cholecystectomy; however, instead of improving on ATT, the patient deteriorated. Subsequently, a diagnosis of hepatic sarcoidosis was confirmed after reviewing the liver biopsy, and the patient improved following treatment with corticosteroids.


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