Infectious liver diseases other than hepatitis viruses
- Lobulated liver due to syphilis
Lobutated liver is characteristic in the stage IV of syphilis. This lobulation known to be caused by the scarring and absorption of Gumma.
- Etiology unknown
- Sarcoidosis of the liver
Irregularly-shaped thick whitish coats are visible on liver surface. Non-caseating epithelioid cell granuloma with giant cells is often encountered in biopsied liver specimens which are taken just beneath those whitish coats. Small whitish granulomatous nodules scattered on liver surface are another characteristic finding. The differential diagnosis between tuberculosis and sarcoidosis is necessary when these small granulomas are found.
Third Department of Internal Medicine,
NIIGATA UNIVERSITY School of Medicine
1-757 Asahimachi-dori, Niigata city, 951, JAPAN
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