Liver sarcoidosis that presented with dysphagia

被引：2

作者：

Samuraki, Miharu ^{[1
]}

Nakahashi, Takuya ^{[1
]}

Aoyama, Shou ^{[1
]}

Hinoue, Yoshinobu ^{[1
]}

Takahashi, Hirokazu ^{[1
]}

Saito, Katsuhiko ^{[2
]}

Hayashi, Shigeru ^{[1
]}

机构：

[1] Toyama City Hosp, Dept Internal Med, Toyama, Japan

[2] Toyama City Hosp, Dept Pathol, Toyama, Japan

来源：

INTERNAL MEDICINE | 2008年 / 47卷 / 13期

关键词：

sarcoidosis; dysphagia; liver biopsy;

D O I：

10.2169/internalmedicine.47.1050

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of liver sarcoidosis with dysphagia. Although akinesia of the soft palate, disappearance of the palatal reflex, and pyramidal signs indicated brainstem lesions, brain magnetic resonance imaging showed no lesion and the focus was obscure. Iritis, parotiditis, and hilar lymphadenopathy supported the diagnosis of sarcoidosis. However, lung biopsy was normal. Finally, sarcoidosis was diagnosed by liver biopsy. We speculated that microgranulomas in the brainstem that did not exhibit imaging abnormalities causing the neurological symptoms and that liver biopsy can be an effective diagnostic tool even for cases that presented with neurological signs, but no gastrointestinal symptom.

引用

页码：1259 / 1261

页数：3

共 22 条

[1]

BOWER JS, 1980, AM REV RESPIR DIS, V122, P325

[2]

CAPPELL MS, 1995, AM J GASTROENTEROL, V90, P489

[3]

Castroagudin JF, 1999, HEPATO-GASTROENTEROL, V46, P2414

[4]

Christoforidis GA, 1999, AM J NEURORADIOL, V20, P655

[5] SARCOIDOSIS . REPORT OF A CASE PRESENTING AS DYSPHAGIA [J].

COOK, DM ;

DINES, DE ;

DYCUS, DS .

CHEST, 1970, 57 (01) :84-&

[6]

DUFRESNE CR, 1983, SURGERY, V94, P32

[7] SARCOIDOSIS WITH DYSPHAGIA, PERIPHERAL NEUROPATHY AND MULTIPLE CRANIAL NERVE LESIONS [J].

GARROD, O .

PROCEEDINGS OF THE ROYAL SOCIETY OF MEDICINE-LONDON, 1964, 57 (03) :175-175

[8]

Geissinger BW, 1996, AM J GASTROENTEROL, V91, P1423

[9] Extrapulmonary sarcoidosis of liver and pancreas:: A case report and review of literature [J].

Harder, Hermann ;

Buechler, Markus W. ;

Froehlich, Boris ;

Stroebel, Philipp ;

Bergmann, Frank ;

Neff, Wolfgang ;

Singer, Manfred V. .

WORLD JOURNAL OF GASTROENTEROLOGY, 2007, 13 (17) :2504-2509

[10] SARCOIDOSIS - A CASE PRESENTING WITH DYSPHAGIA AND DYSPHONIA [J].

HARDY, WE ;

TULGAN, H ;

HAIDAK, G ;

BUDNITZ, J .

ANNALS OF INTERNAL MEDICINE, 1967, 66 (02) :353-+

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