Hepatic sarcoidosis masquerading as tuberculosis

Sarcoidosis is a systemic granulomatous disease of unknown aetiology. Hepatic involvement is frequent in sarcoidosis and is commonly asymptomatic. We report the case of a 50-year-old woman who presented with antitubercular therapy (ATT)-induced hepatotoxicity. The patient was prescribed ATT for hepatic tuberculosis, which was diagnosed incidentally during laparoscopic cholecystectomy; however, instead of improving on ATT, the patient deteriorated. Subsequently, a diagnosis of hepatic sarcoidosis was confirmed after reviewing the liver biopsy, and the patient improved following treatment with corticosteroids.