Mitchell Richard, Khan Haidar, Reyes Jonathan Vincent M
Internal Medicine, Icahn School of Medicine at Mount Sinai/NYC Health + Hospitals-Elmhurst, Queens, USA.
Cureus. 2024 Mar 1;16(3):e55316. doi: 10.7759/cureus.55316. eCollection 2024 Mar.
A 50-year-old female who presented to our hospital for recurrent diarrhea was found to have worsening aminotransferase and alkaline phosphatase levels. Workup revealed lymphadenopathy and hepatomegaly prompting a biopsy of the liver and axillary lymph node, confirming a diagnosis of hepatic sarcoidosis. Our patient later developed cutaneous sarcoidosis. She is currently asymptomatic and is followed by gastroenterology, pulmonary, and dermatology. Recognition of extrapulmonary manifestations of sarcoidosis is important for proper management of patients. Treatment often requires a multidisciplinary approach when more than one organ system is involved.
一名50岁女性因反复腹泻前来我院就诊，检查发现其转氨酶和碱性磷酸酶水平不断恶化。进一步检查发现有淋巴结病和肝肿大，于是对肝脏和腋窝淋巴结进行活检，确诊为肝结节病。我们的患者后来又出现了皮肤结节病。她目前没有症状，由胃肠病学、肺病学和皮肤病学科室进行随访。认识结节病的肺外表现对于患者的正确管理很重要。当涉及多个器官系统时，治疗通常需要多学科方法。
