Case Report

Elevated Aminotransaminases As the First Manifestation of Sarcoidosis

Table 1

[11].

Causes of hepatic granulomas

Drugs
Allopurinol
Phenylbutazone, quinidine
Sulfonamides

Infections
Bacterial (actinomycosis, brucellosis, cat-scratch fever, syphilis, TB* and other mycobacteria, tularemia)
Fungal (blastomycosis, cryptococcosis, histoplasmosis)
Parasitic (schistosomiasis*, toxoplasmosis, visceral larva migrans)
Viral (cytomegalovirus, infectious mononucleosis, Q fever)

Liver disorders
Primary biliary cirrhosis

Systemic disorders
Hodgkin’s lymphoma, polymyalgia rheumatic, and other connective tissue disorders, sarcoidosis*

M*ost common causes