2008, Number 1
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Ann Hepatol 2008; 7 (1)
Sarcoidosis mimicking primary sclerosing cholangitis requiring liver transplantation
Tombazzi C; Waters B; Ismail MK; Sylvestre PB; Martinez-Hernandez A; Riely CA
Language: Spanish
References: 22
Page: 83-86
PDF size: 154.85 Kb.
Text Extraction
Sarcoidosis is a systemic granulomatous disease of unknown etiology. The association of the cholestatic pattern usually seen in sarcoidosis, with biliary duct changes resembling primary sclerosing cholangitis (PSC) is rare.1 Liver transplantation permits the histological evaluation of the complete explanted liver, making the diagnosis more reliable. In conclusion we present our experience with two patients with sarcoidosis requiring liver transplantation, who presented with clinical and radiological findings characteristics of primary sclerosing cholangitis.
REFERENCES
Bambery P, Kaur U, Bhusnurmath SR, Dialawari JB. Familial idiopathic granulamotosis: sarcoidosis and Crohn’s disease in two Indian families. Thorax 1991; 46: 919-921
Ilan Y, Rappaport I, Feigin R, Ben-Chetrit E. Primary sclerosing cholangitis in sarcoidosis. J Clin Gastroenterol 1993; 16: 326-328.
Branson JH, Park JH. Sarcoidosis-hepatic involvement: presentation of a case with fatal involvement, including autopsies findings and review of the evidence for sarcoidosis involvement of the liver as found in the literature. Ann Intern Med 1954; 40: 111-145,
Russi EW, Banski G, Pftaltz M, Spinas G, Hammer B, Senning A. Budd-Chiari syndrome in sarcoidosis. Am J Gastroenterol 1986; 81: 71-75.
Nakanuma Y, Ohta G, Yamazaki Y, Dishita K. Intrahepatic bile duct destruction in a patient with sarcoidosis and chronic intrahepatic cholestasis. Acta Pathol Jpn 1979; 29: 211-219.
Rudzki C, Ishak KG, Zimmermann HJ. Chronic intrahepatic cholestasis of sarcoidosis. Am J Med 1975; 59: 373-387.
Devaney G, Goodman ZD, Epstein MS, Zimmerman H, Ishak K. Hepatic sarcoidosis. Clinicopathologic features in 100 patients. Am J Surg Pathol 1993; 17: 1272-1280.
Tekeste H, Latour F, Levitt RE. Portal hypertension complicating sarcoidosis liver disease: case report and review of the literature. Am J Gastroenterol 1984; 79: 389-396.
Bass NM, Burroughs AK, Scheur PJ, James DG, Sherlock S. Chronic cholestasis due to sarcoidosis. Gut 1982; 23: 417-421.
Schep GN, Scully LJ. Primary sclerosing cholangitis and sarcoidosis: an unusual combination. Case report and review of the literature. Can J Gastroenterol 1990; 4: 489-494.
Thompson HH, Pitt HA, Tompkins RK, Longmire WC. Primary sclerosing cholangitis. A heterogeneous disease. Ann Surg 1982; 196: 127-136.
Van Steenbergen W, Fevery J, Vandenbrande P, Desmet V, Ponette E, Kerremans R, De Groote J. Ulcerative colitis, primary sclerosing cholangitis, bile duct carcinoma, and generalized sarcoidosis. Report of a unique association. J Clin Gastroenterol 1987; 9: 574-579.
Heully F, Bessot M, Gaucher P, Vivari F, Laurent J, Dossman J. Les cholangitis primitives. Arch Fr Mal App Dig 1969; 58: 757-772.
Romero-Gomez M, Suarez-Garcia E, Otero MA, Rufo MC, Castilla L, Guerrero P, Lopez Garrido J, et al. Sarcoidosis, sclerosing cholangitis and chronic atrophic autoimmune gastritis. A case of infiltrative sclerosing cholangitis. J Clin Gastroenterol 1998; 27: 162-165
Nakanuma Y, Kouda W, Harada K, Hiramatsu K. Hepatic sarcoidosis with vanishing bile Duct syndrome, cirrhosis, and portal phlebosclerosis. Report of an autopsy case. J Clin Gastroenterol 2001; 32: 181-184.
Keller K, Hofmann WJ, Kayser K, Limberg B, Lippert J, Werner A, Andrassy K, et al. Coincidence of primary sclerosing cholangitis and sarcoidosis: case report and review of the literature. Z Gastroenterol 1997; 35: 33-39.
Lidar M, Langevits P, Livneh A, Weiss P, Yosepovich A. Sclerosing cholangitis associated with systemic sarcoidosis. Journal of Clinical Gastro 2003; 36: 84-85.
Ishack K. Sarcoidosis of liver and bile ducts. Mayo Clin Proc 1998; 73: 467-72.
Humminghake WG, Crystal RG. Pulmonary sarcoidosis. A disorder mediated by excess helper T-lymphocyte activity at sites of disease activity. N Engl J Med 1981; 305: 429-434.
Chapman RW, Varghese Z, Gaul R, Patel G, Kokinon N, Sherlock S. Association of primary sclerosing cholangitis with HLA-B8. Gut 1983; 28: 38-41.
Alam I, Levenson S, Ferrell L, Bass N. Diffuse intrahepatic biliary strictures in sarcoidosis resembling sclerosing cholangitis. Case report and review of the literature. Dig Dis and Sci 1997; 42: 1295-1301.
Pungpapong S, Steers J, Wallace M, Krishna M, Keaveny P. Hepatobiliry sarcoidosis mimicking Klatskin’s cholangiocarcinoma. Gastrointestinal Endoscopy 2006; 64: 124-125.