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letter
. 2022 Oct 6;108:108–110. doi: 10.1016/j.ejim.2022.09.029

Table 1.

Liver biopsy findings among three patients.

Data are presented according to Ishak grading and staging.

Case I (11 portal spaces) Case II (12 portal spaces) Case III (12 portal spaces)
Periportal or periseptal interface hepatitis Severe (continuous around > 50% of portal areas). Moderate plasma cells infiltrate 4 Mild/moderate (focal, most portal areas). Scattered plasma cells and eosinophils 2 Moderate (continuous around <50% of tracts). Moderate plasma cells infiltrate 3
Confluent necrosis Zone 3 necrosis in some areas 2 Absent 0 Absent 0
Focal (spotty) lytic necrosis, apoptosis and focal inflammation Five to ten foci per 10X objective, perivenular necroinflammatory infiltrate 3 Two to four foci per 10X objective, perivenular necroinflammatory infiltrate 2 One focus per 10X objective 1
Portal inflammation Marked, all portal areas 4 Mild, focal inflammation 1 Moderate, all portal areas 3
Fibrosis No fibrosis 0 Fibrous expansion of some portal areas, without septa 1 Fibrous expansion of most portal areas, with short fibrous septa 2
Other features Mild bile duct injury Focal ductular hyperplasia, no rosettes Mild biliary regression, focal rosettes