https://doi.org/10.4081/monaldi.2019.1141
Finger clubbing and cirrhosis in a sarcoidosis patient
Accepted: October 6, 2019
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Sarcoidosis is a multisystem granulomatous inflammatory disorder frequently affecting the lungs, but also the liver, along with cirrhosis and portal hypertension occurring in less than 1% of the patients. A 56-year-old female presented with dyspnea, abdominal and leg swelling. Physical examination revealed finger clubbing, ascites and pretibial edema. Chest CT revealed diffuse micronodular opacities in both lungs without any enlarged thoracic lymph nodes. PFTs and DLCO/VA were moderately decreased. Transbronchial biopsy revealed non-caseified granulomas compatible with sarcoidosis. Serologic markers for infectious and autoimmune hepatitis were negative. Liver biopsy showed non-caseating granulomas, severe hepatitis and fibrosis. Stool, urinary analysis and antibodies for Schistosoma infection were negative. Final diagnosis was cirrhosis associated with stage III sarcoidosis. We report a case of sarcoidosis complicated by cirrhosis and portal hypertension with finger clubbing. Clinicians should bear in mind that cirrhosis, portal hypertension and clubbing may arise as the initial manifestations of sarcoidosis.
How to Cite
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Matteo Pernigo, Marco Triggiani, Emanuele Gavazzi, Ilaria Papa, Alberto Vaccari, Simona Fisogni, Ester Costantino, Gian Franco Pasini, Acute heart failure due to COVID-19 related myocardial injury and de novo hypertensive cardiomyopathy: a challenging diagnosis , Monaldi Archives for Chest Disease: Vol. 92 No. 1 (2022)
- Shekhar Kunal, Kashish Gupta, Shashi Mohan Sharma, Vijay Pathak, Shruti Mittal, Chandrakant Tarke, Cardiovascular system and COVID-19: perspectives from a developing country , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- Elena Costanza dal Piaz, Giovanni Cioffi, Federica Ognibeni, Andrea Dalbeni, Alessandro Giollo, Giovanni Orsolini, Davide Gatti, Luca Idolazzi, Carlo Stefenelli, Maurizio Rossini, Ombretta Viapiana, Incidence and predictors of new onset left ventricular diastolic dysfunction in asymptomatic patients with rheumatoid arthritis without overt cardiac disease , Monaldi Archives for Chest Disease: Vol. 89 No. 3 (2019)
- Ombretta Para, Marco Vanetti, Chiara Dibonaventura, Davide Salerno, Lorenzo Caruso, Christian Carleo, Asim Raza, Carlo Nozzoli, Antonio Spanevello, Chronic obstructive pulmonary disease and heart failure in real life: the tip of the iceberg in the sea of comorbidities. A prospective observational study , Monaldi Archives for Chest Disease: Early Access
- Emídio Mata, Bárbara Lage Garcia, Mariana Tinoco, Margarida Castro, Luísa Pinheiro, João Português, Francisco Ferreira, Silvia Ribeiro, Bruno Melica, António Lourenço, Transcatheter edge-to-edge mitral valve repair versus medical therapy for secondary mitral regurgitation: a meta-analysis of randomized controlled trials , Monaldi Archives for Chest Disease: Early Access
- Pietro Impellizzeri, Santi Nolasco, Raffaele Campisi, Antonino Cipolla, Alba Borgese, Stefano Alia, Nunzio Crimi, Claudia Crimi, Acute and long-term management of severe bronchiectasis with high flow nasal therapy: a case report , Monaldi Archives for Chest Disease: Vol. 93 No. 2 (2023)
- Maria Tamara Neves Pereira, Mariana Tinoco, Margarida Castro, Luísa Pinheiro, Filipa Cardoso, Lucy Calvo, Sílvia Ribeiro, Vitor Monteiro, Victor Sanfins, António Lourenço, Assessing cardiac resynchronization therapy response in heart failure patients: a comparative analysis of efficacy and outcomes between transvenous and epicardial leads , Monaldi Archives for Chest Disease: Early Access
- Tommaso Diaco, Oreste Febo, Marco Ambrosetti, Claudio Malinverni, Continued care in patients with cardiac failure in Regione Lombardia: central role of Cardiac Rehabilitation reaffirmed , Monaldi Archives for Chest Disease: Vol. 74 No. 2 (2010): Cardiac series
- Pedro Magalhães Ferreira, Mariana Ribeiro, Miguel Gonçalves, Carla Damas, Real-world data on home high-flow nasal cannula oxygen therapy in end-stage respiratory disease , Monaldi Archives for Chest Disease: Early Access
- Edoardo Sciatti, Ugo Nesti, Andrea Di Lenarda, Indirect comparison between ferric carboxymaltose and oral iron replacement in heart failure with reduced ejection fraction: a network meta-analysis , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
<< < 11 12 13 14 15 16 17 18 19 20 > >>
You may also start an advanced similarity search for this article.
