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Treatment of fibrosing cholestatic hepatitis with lamivudine

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Presentation on theme: "Treatment of fibrosing cholestatic hepatitis with lamivudine"— Presentation transcript:

1 Treatment of fibrosing cholestatic hepatitis with lamivudine
Tak–Mao Chan*, Pui–Chee Wu‡, Fu–Keung Li*, Ching–Lung Lai*, Ignatius K.P. Cheng*, Kar–Neng Lai*  Gastroenterology  Volume 115, Issue 1, Pages (July 1998) DOI: /S (98) Copyright © 1998 American Gastroenterological Association Terms and Conditions

2 Fig. 1 Photomicrograph of liver biopsy specimen showing features of fibrosing cholestatic hepatitis characterized by marked hepatocyte balloon degeneration, focal hepatocyte loss, bile stasis, and pericellular fibrosis (H&E; original magnification 175×). Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

3 Fig. 2 Photomicrograph of liver biopsy specimen showing abundant HBcAg in both nuclei and cytoplasm by immunohistochemical staining (H&E; original magnification 175×). Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

4 Fig. 3 Photomicrograph of liver biopsy specimen showing HBsAg in the majority of hepatocytes by immunohistochemical staining (H&E; original magnification 175×). Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

5 Fig. 4 Diagram showing the serial levels of serum HBV DNA (□) and ALT (♢) and prothrombin time (○) in the patient. Lamivudine therapy was followed by a rapid reduction of HBV DNA and more gradual improvements in transaminasemia and liver function, the latter depicted by normalization of prothrombin time. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions


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