Hepatic Sarcoidosis—An Unusual Cause of Jaundice: A Case Report

Sarcoidosis is a chronic disorder. Its hallmark is the presence of noncaseating granuloma. Most cases are asymptomatic. However, few of them progress to liver cirrhosis and liver failure. Treatment of hepatic sarcoidosis is challenging as there is no large randomized controlled till date has been done to evaluate the efficacy of drugs. The unique characteristic of this case report is that sarcoidosis may present with jaundice and need to be borne in mind when a patient presenting with jaundice and no usual cause failed to be identify any usual cause. Despite having sarcoidosis, the patient did not have any respiratory symptom. We are presenting a case of hepatic sarcoidosis who presented with abdominal pain, fever, and jaundice. After excluding of all common causes of jaundice, hepatic sarcoidosis was diagnosed with liver biopsy. High levels of suspicion are needed to diagnose hepatic sarcoidosis as this is an unusual cause of jaundice. Although rare, hepatic sarcoidosis can be treated with steroids. The prime takeaway message from this case report is to consider sarcoidosis as an unusual but treatable cause of jaundice when the conventional causes are failed to be the cause of jaundice.