Extrapulmonary Sarcoidosis Manifested as Cirrhosis with Portal Hypertension

Sunil Raviraj Kothakota, Ajith Kumar Nair, Madhu Sasidharan, Harish Kareem, C Praveen Kumar, Jagadeswarareddy Kanala


Hepatic involvement has been reported in 20-30% of patients with systemic sarcoidosis. However, isolated liver involvement is rare. We report a case of cirrhosis with portal hypertension, diagnosed as hepatic sarcoidosis based on high angiotensin-converting enzyme level and presence of multiple non-caseating granulomas in liver histopathology. She improved clinically after treatment with steroid and ursodeoxycholic acid.


Sarcoidosis; Hepatic sarcoid; Cirrhosis; Portal hypertension

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