Difference between revisions of "Medical liver disease"

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(→‎Primary biliary cirrhosis: more +florid duct lesion)
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**''Garland'' originally "wreath of flowers" (in French).<ref>[http://dictionary.reference.com/browse/garland http://dictionary.reference.com/browse/garland]</ref>
**''Garland'' originally "wreath of flowers" (in French).<ref>[http://dictionary.reference.com/browse/garland http://dictionary.reference.com/browse/garland]</ref>


Images:
DDx:<ref name=Ref_DCHH163>{{Ref DCHH|163}}</ref>
*[http://commons.wikimedia.org/wiki/File:Primary_biliary_cirrhosis_low_mag.jpg PBC - low magnification (WC)].
*[http://commons.wikimedia.org/wiki/File:Primary_biliary_cirrhosis_intermed_mag.jpg PBC - intermediate magnification (WC)].
*[http://www.gidesigns.net/images/MC-copper-flower-garland-L.jpg Garland - wreath of flowers (gidesigns.net)].
 
DDx:<ref>{{Ref DCHH|163}}</ref>
*[[Sarcoidosis]] (if granulomas present).
*[[Sarcoidosis]] (if granulomas present).
*PSC, viral hepatitis, AIH, drugs, [[Hodgkin's lymphoma]].<ref name=pmid19131796>Vanishing bile duct syndrome and Hodgkin disease: a case series and review of the literature. Pass AK, McLin VA, Rushton JR, Kearney DL, Hastings CA, Margolin JF. J Pediatr Hematol Oncol. 2008 Dec;30(12):976-80. PMID 19131796.</ref>
*[[Primary sclerosing cholangitis]].
*Viral hepatitis.
*[[Autoimmune hepatitis]].
*Drugs.
*[[Hodgkin's lymphoma]].<ref name=pmid19131796>Vanishing bile duct syndrome and Hodgkin disease: a case series and review of the literature. Pass AK, McLin VA, Rushton JR, Kearney DL, Hastings CA, Margolin JF. J Pediatr Hematol Oncol. 2008 Dec;30(12):976-80. PMID 19131796.</ref>


Notes:
Notes:
*[[PAS stain]] useful for examining basement membrane... which is lost in PBC.
*[[PAS stain]] useful for examining basement membrane... which is lost in PBC.
*Lobular inflammation should be minimal.
*Lobular inflammation should be minimal.
Images:
*[http://commons.wikimedia.org/wiki/File:Primary_biliary_cirrhosis_low_mag.jpg PBC - low magnification (WC)].
*[http://commons.wikimedia.org/wiki/File:Primary_biliary_cirrhosis_intermed_mag.jpg PBC - intermediate magnification (WC)].
*[http://www.gidesigns.net/images/MC-copper-flower-garland-L.jpg Garland - wreath of flowers (gidesigns.net)].


====Staging PBC====
====Staging PBC====
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