Autoimmune hepatitis: a histological variant associated with prominent centrilobular necrosis.

Abstract:

:A patient presented with pruritus and recent elevation of aminotransferases. The case fulfilled most of the criteria for the diagnosis of autoimmune hepatitis and achieved clinical and complete biochemical response to steroid therapy. However, the liver biopsy specimen revealed an unusual histological pattern consisting of severe centrilobular necrosis demarcated by a thin rim of hepatitic reaction. In contrast, the portal tracts appeared almost normal. This histological appearance has not been associated with autoimmune hepatitis. This presentation and the histology may represent an early pattern of autoimmune injury to the liver.

journal_name

Gut

journal_title

Gut

authors

Te HS,Koukoulis G,Ganger DR

doi

10.1136/gut.41.2.269

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

269-71

issue

2

eissn

0017-5749

issn

1468-3288

journal_volume

41

pub_type

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