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. 1975 Jun;51(596):361-5.
doi: 10.1136/pgmj.51.596.361.

Granulomas of the liver

E Neville, K H Piyasena, D G James

Granulomas of the liver

E Neville et al. Postgrad Med J. 1975 Jun.

Abstract

The authors personally studied 138 patients with liver granulomas: seventy-five (54%) had sarcoidosis, twenty-six (19%) had primary biliary cirrhosis, twenty-three (17%) had miscellaneous recognizable disorders and fourteen (10%) were undiagnosed. The modes of presentation, the clinical, biochemical and radiological features are compared, and the course of each disease is followed. The undiagnosed group were frequently middle-aged men presenting with abdominal pain, fever and hepato-splenomegaly. The unsatisfactory term granulomatous hepatitis, if used, should be reserved for this undiagnosed residue until follow-up reveals a more definite aetiology.

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