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. 2023 Dec 20;40(4):e2023048.
doi: 10.36141/svdld.v40i4.15249.

A case of hepatosplenic sarcoidosis accompanied by hypercalcemia

Füsun Fakılı  1 , Nazan Gülhan Bayram  2 , Evren Uzun  3
Affiliations

A case of hepatosplenic sarcoidosis accompanied by hypercalcemia

Füsun Fakılı et al. Sarcoidosis Vasc Diffuse Lung Dis. .

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.

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Conflict of interest statement

None of the authors have a conflict of interest.

Figures

Figure 1.
Figure 1.
(A) Abdomen MRI. Axial plain. (B) Abdomen MRI. Coronal plain: Diffuse, multiple, nodular hyperintense lesions on T2 weighted, which did not show enhancement in the liver and spleen parenchyma.
See this image and copyright information in PMC

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