# Hepatic Sarcoidosis Found Incidentally in a Patient Presenting With Recurrent Clostridium difficile Infections

## TL;DR

A patient with recurring Clostridium difficile infections was found to have hepatic sarcoidosis, highlighting the importance of recognizing extrapulmonary sarcoidosis.

## Contribution

This case report highlights the incidental discovery of hepatic sarcoidosis in a patient with recurrent gastrointestinal issues.

## Key findings

- The patient was diagnosed with hepatic sarcoidosis after liver and lymph node biopsies.
- The patient later developed cutaneous sarcoidosis.
- Multidisciplinary care is essential for managing sarcoidosis affecting multiple organ systems.

## Abstract

A 50-year-old female who presented to our hospital for recurrent diarrhea was found to have worsening aminotransferase and alkaline phosphatase levels. Workup revealed lymphadenopathy and hepatomegaly prompting a biopsy of the liver and axillary lymph node, confirming a diagnosis of hepatic sarcoidosis. Our patient later developed cutaneous sarcoidosis. She is currently asymptomatic and is followed by gastroenterology, pulmonary, and dermatology. Recognition of extrapulmonary manifestations of sarcoidosis is important for proper management of patients. Treatment often requires a multidisciplinary approach when more than one organ system is involved.