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Difference between revisions of "Medical liver disease"
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→Microscopic: Added Hepatitis C images. Will add more as I get more
(→Microscopic: Added Hepatitis C images. Will add more as I get more) |
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*Periportal steatosis in genotype 3.<ref name=pmid16614743>Yoon EJ, Hu KQ. Hepatitis C virus (HCV) infection and hepatic steatosis. Int J Med Sci. 2006;3(2):53-6. Epub 2006 Apr 1. PMID 16614743. Avialable at: [http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1415843 http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1415843]. Accessed on: September 9, 2009.</ref> | *Periportal steatosis in genotype 3.<ref name=pmid16614743>Yoon EJ, Hu KQ. Hepatitis C virus (HCV) infection and hepatic steatosis. Int J Med Sci. 2006;3(2):53-6. Epub 2006 Apr 1. PMID 16614743. Avialable at: [http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1415843 http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1415843]. Accessed on: September 9, 2009.</ref> | ||
**Steatosis in hepatitis C is usually a secondary pathology, i.e. a separate pathologic process.<ref>OA. September 2009.</ref> | **Steatosis in hepatitis C is usually a secondary pathology, i.e. a separate pathologic process.<ref>OA. September 2009.</ref> | ||
====Images==== | |||
{| class="wikitable sortable" | |||
| [[File:HCV C1 2016 06 22.tif|thumb|Hepatitis C case for Libre Pathology]] | |||
| Metavir activity index 1 (Piecemeal necrosis 0-1, Lobular necrosis 1), Metavir fibrosis stage 2. Hepatitis C genotype 1a. Expanded, dark triads (UL blue arrowhead). Focus of spotty necrosis (UR green arrowhead). Reticulin shows occasional, equivocal foci of piecemeal necrosis, with a thin black line possibly encircling a hepatocytes (LL yellow arrowhead); the activity index is unaffected by the difference in piecemeal necrosis score. Trichrome shows portal fibrosis with extension outside area of blood vessels (LR purple arrowhead) Original oculars UL 2X, UR 20X, LL 40X, LR 40X | |||
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| [[File:HCV C2 2016 06 22.tif|thumb|Hepatits C case for Libre Pathology]] | |||
| Metavir activity index 2 (Piecemeal necrosis 2, Lobular necrosis 1). Hepatitis C genotype 3a. Steatosis, not pan-acinar and dark, expanded triads(UL) with the inset showing a Councilman body. Reticulin collapse, not portal-central (UR green arrowhead). Reticulin with more than focal piecemeal necrosis in some triads/tracts (LL magenta arrowheads) Trichrome stain of a tract (the entire structure may be a large bridge) with thinner bridges (LR cyan arrowheads). | |||
Original oculars. UL 4X (inset 40X with higher magnification), UR 20X, LL 40X, LR 10X | |||
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DDx: | DDx: | ||