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Though findings on magnetic resonance cholangiopancreatography were initially concerning primary sclerosing cholangitis, he was ultimately diagnosed with biliary sarcoidosis after a liver biopsy. This case brings attention to the rare phenomenon of hepatic sarcoidosis causing hyperbilirubinemia and highlights the importance of reaching the correct diagnosis early, as the patient\u2019s symptoms improved after initiation of steroids.<\/jats:p>","DOI":"10.1136\/bcr-2021-243492","type":"journal-article","created":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T11:55:14Z","timestamp":1631015714000},"page":"e243492","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Hepatic sarcoidosis resembling primary sclerosing cholangitis"],"prefix":"10.1136","volume":"14","author":[{"given":"Ying","family":"Chen","sequence":"first","affiliation":[{"name":"Internal Medicine, Montefiore Medical Center, Bronx, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camelia","family":"Ciobanu","sequence":"additional","affiliation":[{"name":"Internal Medicine, St. Barnabas Hospital, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurel","family":"Mohrmann","sequence":"additional","affiliation":[{"name":"Hospital Medicine, Montefiore Medical Center, Bronx, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,9,7]]},"reference":[{"key":"2025082709554164000_14.9.e243492.1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201511-760OC"},{"key":"2025082709554164000_14.9.e243492.2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.164.10.2104046"},{"key":"2025082709554164000_14.9.e243492.3","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1961.03620090155017"},{"key":"2025082709554164000_14.9.e243492.4","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/00004836-200102000-00021","article-title":"Hepatic sarcoidosis with vanishing bile duct syndrome, cirrhosis, and portal phlebosclerosis. 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