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. 2021 May 1;17(4):301–307. doi: 10.1002/cld.1055

TABLE 2.

Main Differential Diagnosis of Hepatic Sarcoidosis

Condition Histology Associated Findings
Sarcoidosis Well‐differentiated noncaseating granulomas Pulmonary adenopathy
Pulmonary interstitial disease
Primary biliary cholangitis Poorly differentiated noncaseating granulomas Positive anti‐mitochondrial antibody
No pulmonary hilar adenopathy
PSC “Onion skin” periductal fibrosis Association with IBD
Typical magnetic resonance cholangiography findings
Drug‐induced hepatic granulomas Variable, depending on drug; presence of eosinophils in granulomas suggests diagnosis Pertinent medication history, including recent antibiotics

Reproduced from Clinics in Liver Disease. 17 Copyright 2019, Elsevier Inc.