Year 2018 / Volume 110 / Number 7
Case Report
Sarcoidosis onset simulating a unique hepatic metastasis

466-467

DOI: 10.17235/reed.2018.5553/2018

Carmelo Diéguez Castillo, Alicia Martín-Lagos Maldonado, Rosa María Ríos Pelegrina, María del Mar Díaz Alcázar, Amparo Roa Colomo, Elena Ruiz Escolano,

Abstract
Sarcoidosis is a systemic granulomatous disease with an uncertain etiology, characterized by the production of non-necrotizing granulomas. The most frequent presentation is pulmonary and mediastinal, although it might affect any other organ. Hepatic alterations occur in 50 to 65% of the cases. Nevertheless, it is commonly subclinical or detected during a study of the alteration of liver enzymes. It is very unusual that disease onset occurs as an isolated hepatic tumor. A hepatic biopsy is usually required to confirm the diagnosis. A differential diagnosis must be established via any hepatic granulomatous disease, infectious or autoimmune disease as well as the exclusion of malignancy. We present a clinical case of a female diagnosed with an isolated hepatic sarcoidosis that simulated a unique hepatic metastatic lesion. The hepatic biopsy was diagnostic.
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References
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Diéguez Castillo C, Martín-Lagos Maldonado A, Ríos Pelegrina R, Díaz Alcázar M, Roa Colomo A, Ruiz Escolano E, et all. Sarcoidosis onset simulating a unique hepatic metastasis . 5553/2018


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Publication history

Received: 21/02/2018

Accepted: 22/03/2018

Online First: 22/06/2018

Published: 02/07/2018

Article revision time: 24 days

Article Online First time: 121 days

Article editing time: 131 days


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