Hepatic Sarcodosis presenting as portal hypertension in a young boy

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Achakzai Inamullah Khan; MAJID ZAIN; Khalid Muhammad Ali; Ahmed Khan Shoaib; Laeeq Seyed Mudassir; LUCK NASIR HASSAN

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Paper Information

Journal: Gastroenterology and Hepatology From Bed to Bench Year:2018 | Volume:11 | Issue:1 Page(s): 83-85

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Title

Hepatic Sarcodosis presenting as portal hypertension in a young boy

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Keywords

Hepatic sarcoidosis

chronic granulomatous disease

steroids

Serum ACE levels.

Abstract

A 13-year-old boy, known case renal stone disease came with the complaints of abdominal pain along with low grade fever. On examination, hepatosplenomegaly was noted while his lab reports showed a low hemoglobulin with a raised ESR. His blood and urine cultures showed no growth. Viral markers, autoimmune profile, C and p ANCA were all negative apart from a raised serum IgG level. Ultrasound abdomen showed a hyperechoic liver with an enlarged spleen along with splenic varices and minimum ascites. Ultrasound hepatic doppler was normal. Serum AFP levels were normal while workup for Wilson’ s disease was negative. Fibroscan showed F4 fibosis. CT scan abdomen showed an enlarged left lobe of the liver along with an enlarged spleen. His EGD revealed varices. So liver biopsy was done that was suggestive of chronic granulomatous disease with ZN stain testing negative for TB. PPD, urine for AFB were both negative. Serum ACE levels.were raised. He started ATT therapy but his condition did not improve. So, on the suspicion of Hepatic sarcoidosis, he started on steroids and had a drastic improvement in his condition.

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APA: Copy

Achakzai, Inamullah Khan, MAJID, ZAIN, Khalid, Muhammad Ali, Ahmed Khan, Shoaib, Laeeq, Seyed Mudassir, & LUCK, NASIR HASSAN. (2018). Hepatic Sarcodosis presenting as portal hypertension in a young boy. GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH, 11(1), 83-85. SID. https://sid.ir/paper/324753/en

Vancouver: Copy

Achakzai Inamullah Khan, MAJID ZAIN, Khalid Muhammad Ali, Ahmed Khan Shoaib, Laeeq Seyed Mudassir, LUCK NASIR HASSAN. Hepatic Sarcodosis presenting as portal hypertension in a young boy. GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH[Internet]. 2018;11(1):83-85. Available from: https://sid.ir/paper/324753/en

IEEE: Copy

Inamullah Khan Achakzai, ZAIN MAJID, Muhammad Ali Khalid, Shoaib Ahmed Khan, Seyed Mudassir Laeeq, and NASIR HASSAN LUCK, “Hepatic Sarcodosis presenting as portal hypertension in a young boy,” GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH, vol. 11, no. 1, pp. 83–85, 2018, [Online]. Available: https://sid.ir/paper/324753/en

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