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A Case of Hepatosplenic Sarcoidosis Accompanied by Hypercalcemia

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Abstract

We present a case diagnosed with hepatosplenic sarcoidosis with hypercalcemia. Elevated liver enzymes and hypercalcemia were detected in the patient who was admitted to the hospital with abdominal pain and dyspnea. Abdominal dynamic magnetic resonance imaging (MRI) showed diffuse, multiple, nodular hyperintense lesions on T2 weighted. Multinuclear giant cells and lymphocytic portal inflammation were seen in the patient's liver biopsy, whose angiotensin-converting enzyme level was high, and hepatosplenic sarcoidosis was diagnosed. Shortness of breath, abdominal pain, and calcium level improved with methylprednisolone treatment.

References
1.
Seve P, Pacheco Y, Durupt F, Jamilloux Y, Gerfaud-Valentin M, Isaac S . Sarcoidosis: A Clinical Overview from Symptoms to Diagnosis. Cells. 2021; 10(4). PMC: 8066110. DOI: 10.3390/cells10040766. View

2.
El Jammal T, Dhelft F, Pradat P, Bailly F, Zoulim F, Hot A . Diagnostic value of elevated serum angiotensin-converting enzyme and lymphopenia in patients with granulomatous hepatitis. Sarcoidosis Vasc Diffuse Lung Dis. 2023; 40(3):e2023031. PMC: 10540712. DOI: 10.36141/svdld.v40i3.14221. View

3.
Brugnaro P, Cattelan F, Morelli E, Petrucci A, Marocco A, Panese S . A case of hepatic and bone marrow sarcoidosis with progressive renal failure: diagnostic and therapeutic challenges. Sarcoidosis Vasc Diffuse Lung Dis. 2022; 39(4):e2022041. DOI: 10.36141/svdld.v39i4.11350. View

4.
Sakai T, Maeda M, Takabatake M, Hayashi N, Ishii Y, Kitamura M . MR imaging of hepatosplenic sarcoidosis. Radiat Med. 1995; 13(1):39-41. View

5.
Tana C, Donatiello I, Caputo A, Tana M, Naccarelli T, Mantini C . Clinical Features, Histopathology and Differential Diagnosis of Sarcoidosis. Cells. 2022; 11(1). PMC: 8750978. DOI: 10.3390/cells11010059. View