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Case Report

Sarcoidosis Presenting as Acute on Chronic Liver Failure–Report of the First Case

Cyriac Abby Philips, Chetan Ramesh Kalal, Awinash Kumar


Sarcoidosis is a multi system disease with different clinical presentations. Asymptomatic presentation is the commonest, but others include jaundice with chronic cholestasis, cirrhosis, portal hypertension, hepatic venous outflow tract obstruction and extrahepatic biliary obstruction. Cirrhosis and portal hypertension are the rarest manifestation of hepatic sarcoid and represent less than 1% of all cases. Acute on chronic liver failure as a presentation of sarcoidosis has never been reported before. Here we present a patient of sarcoidosis presenting with acute on chronic liver failure, and in whom, steroid therapy improved liver failure with a good outcome.

Key words: Sarcoidosis, ACLF, liver failure, jaundice, hepatic encephalopathy, granulomas

Med-Science. 2016; 5(2): 655-65

Medicine Science Vol:5 Issue:2 Year:2016 PP:351-750
Posted in Vol: 5 Issue: 2 Year: 2016 June pp: 351–750

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