Abstract:
:Two West Indian patients with Kveim-biopsy proven sarcoidosis developed chronic cholestatic liver disease, clinically and biochemically similar to primary biliary cirrhosis. Liver histology revealed multiple granulomas with reduction in bile ducts and, in one patient, progression to biliary cirrhosis. Portal hypertension was present in both patients leading to severe variceal haemorrhage in one. Mitochondrial antibody was negative in both patients and when used in conjunction with the Kveim-Siltzbach skin test serves to differentiate chronic intrahepatic cholestasis secondary to sarcoidosis from primary biliary cirrhosis.
journal_name
Gutjournal_title
Gutauthors
Bass NM,Burroughs AK,Scheuer PJ,James DG,Sherlock Sdoi
10.1136/gut.23.5.417subject
Has Abstractpub_date
1982-05-01 00:00:00pages
417-21issue
5eissn
0017-5749issn
1468-3288journal_volume
23pub_type
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