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letter
. 2022 Apr 14;106(7):e348–e349. doi: 10.1097/TP.0000000000004166

FIGURE 1.

FIGURE 1.

Histopathological findings of liver allograft biopsies after SARS-CoV-2 mRNA vaccination (Pfizer-BioNTech) for case 1 (A, H&E ×400), case 2 (B, H&E ×100), and case 3 (C, H&E ×400; D, H&E ×400). A, Post vaccination biopsy for Case 1 showed moderate to severe T cell mediated rejection with all portal tracts infiltrated and expanded by activated lymphocytes, neutrophils and eosinophils. Endotheliitis (*) and lymphocytic bile duct injury (arrow) were present in most portal tracts. B, Post vaccination biopsy for Case 2 showed severe T cell mediated rejection with expansile portal infiltrates (*), marked cholestatic lobular injury (arrow) and central venule perivenulitis with hepatocyte drop-out (#).C and D, Case 3 showed typical rejection infiltrate with endotheliitis (arrows), lymphocytic cholangitis (*) and limited lymphocytic central perivenulitis with perivenular hepatocyte damage (#).