Subcutaneous, Ganglion and Pulmonary Sarcoidosis in a Patient with Chronic Hepatitis C Virus Infection

Chronic hepatitis C and sarcoidosis are both well-known diseases. Some studies support the hypothesis that the hepatitis C virus (HCV) may trigger sarcoidosis⁽¹⁾. We present a case of chronic hepatitis C, developing a silent lung systemic disease with subcutaneous and ganglionar nodules, ultimately proving to be sarcoidosis. The clinical picture is complicated by a hepatic nodule, challenging the treatment course. The unveiling of a sarcoidosis in a previously HCV infected patient may not be accidental, the course of infection could be influenced by systemic disease. The therapy of chronic hepatitis C in the context of sarcoidosis is very challenging and demands a careful monitoring⁽²⁾.