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chronic hepatitis

Friday 30 May 2003

Subtypes

- portal lesions

- peripotal lesions

  • piecemeal necrosis
  • periportal fibrosis

- lobular lesions

  • chronic lobular hepatitis
  • hepatocytic necrosis
  • swollen hepatocytes
  • giant multinucleated hepatocytes

Lesional syndromes

- chronic active hepatitis

Etiology

- viral chronic hepatitis
- autoimmune chronic hepatitis
- drug-induced chronic hepatitis
- Wilson disease
- alpha1-antitrypsin deficiency
- chronic alcoholic abuse

Synopsis

- mononuclear portal inflammation
- focal hepatocytic necrosis

Differential diagnosis

- resolving acute hepatitis
- nonspecific reactive hepatitis
- hepatic lymphomas

References

- Batts KP, Ludwig J. Chronic hepatitis. An update on terminology and reporting. Am J Surg Pathol. 1995 Dec;19(12):1409-17. PMID: 7503362