Internal Medicine, Montefiore Medical Center, Bronx, New York, USA
Internal Medicine, St. Barnabas Hospital, Bronx, NY, USA.
BMJ Case Rep. 2021 Sep 7;14(9):e243492. doi: 10.1136/bcr-2021-243492.
We report the case of a 29-year-old man who presented with progressive weight loss, night sweats, abdominal pain and pruritus who was found to have obstructive jaundice and cholestatic pattern of liver injury on laboratory workup. Though findings on magnetic resonance cholangiopancreatography were initially concerning primary sclerosing cholangitis, he was ultimately diagnosed with biliary sarcoidosis after a liver biopsy. This case brings attention to the rare phenomenon of hepatic sarcoidosis causing hyperbilirubinemia and highlights the importance of reaching the correct diagnosis early, as the patient's symptoms improved after initiation of steroids.
我们报告了一例 29 岁男性，因进行性体重减轻、盗汗、腹痛和瘙痒就诊，实验室检查发现阻塞性黄疸和胆汁淤积性肝损伤。尽管磁共振胰胆管成像的结果最初提示原发性硬化性胆管炎，但在进行肝活检后，最终诊断为胆管肉瘤病。该病例引起了人们对肝肉瘤病导致高胆红素血症这一罕见现象的关注，并强调了早期做出正确诊断的重要性，因为患者在开始使用类固醇后症状有所改善。
