A different picture on liver biopsy

A 32-year-old was referred to her local gastroenterologist for investigation of longstanding abnormal liver biochemistry. Her past medical history was of hepatic steatosis, pulmonary sarcoidosis and suspected ileal sarcoidosis. Sarcoidosis was in longstanding clinical remission. There was no relevant family history. She reported fatigue and myalgia. Her body mass index was 22, and physical examination was unremarkable. Labs showed a mildly elevated bilirubin, 35 μmol/L (normal range [NR] 3-20), mildly elevated ALT 51 U/L (NR 10-35) and total protein of 84 U/L (NR 60-80).
Source: Journal of Hepatology - Category: Gastroenterology Authors: Tags: What Is Your Diagnosis? Source Type: research