Resumen

DIEGUEZ-CASTILLO, Carmelo et al. Sarcoidosis onset simulating a unique hepatic metastasis. Rev. esp. enferm. dig. [online]. 2018, vol.110, n.7, pp.466-467. ISSN 1130-0108.  https://dx.doi.org/10.17235/reed.2018.5553/2017.

Sarcoidosis is a systemic granulomatous disease with an uncertain etiology, characterized by the production of non-necrotizing granulomas. The most frequent presentation is pulmonary and mediastinal, although it might affect any other organ. Hepatic alterations occur in 50 to 65% of the cases. Nevertheless, it is commonly subclinical or detected during a study of the alteration of liver enzymes. It is very unusual that disease onset occurs as an isolated hepatic tumor. A hepatic biopsy is usually required to confirm the diagnosis. A differential diagnosis must be established via any hepatic granulomatous disease, infectious or autoimmune disease as well as the exclusion of malignancy. We present a clinical case of a female diagnosed with an isolated hepatic sarcoidosis that simulated a unique hepatic metastatic lesion. The hepatic biopsy was diagnostic.

Palabras clave : Systemic sarcoidosis; Hepatic sarcoidosis; Granulomatous hepatitis.

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