Essential criteria14
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Presence of portal hypertension with splenomegaly
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Patent portal vein and hepatic venous outflow tract
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Normal or near normal liver function
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Absence of parenchymal disease and cirrhosis/advanced fibrosis on liver biopsy
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No obvious etiology of chronic liver disease (e.g. alcohol, Hepatitis viruses)
Other etiologies with similar histological findings are ruled out (e.g. congenital hepatic fibrosis, primary biliary cirrhosis, sarcoidosis, schistosomiasis) Variants–supplementary (non-essential) criteria.
Nodular regenerative hyperplasia9: With distinct contrast between nodular and internodular tissue in most area nodules less than 3 mm.
Hepatoportal sclerosis11 (i) Thrombosis/sclerosis of small portal vein branches; and/or (ii) intrahepatic aberrant abnormal portal venules, defined as absent or clearly reduced in caliber with sclerosis of vessels.
Obliterative portal venopathy15 (i) Liver biopsy longer than 1 cm and containing more than 5 complete portal tracts; more than 2/3 (66%) of the complete portal tracts harboring thickening of the vein's smooth muscle wall.
Incomplete septal cirrhosis10 (i) Parenchymal nodularity; (ii) thin incomplete septa.
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