LiverPub Date : 1987-02-01DOI: 10.1111/j.1600-0676.1987.tb00311.x
G van Parys, C Evenepoel, B van Damme, V J Desmet
{"title":"Ketoconazole-induced hepatitis: a case with a definite cause-effect relationship.","authors":"G van Parys, C Evenepoel, B van Damme, V J Desmet","doi":"10.1111/j.1600-0676.1987.tb00311.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00311.x","url":null,"abstract":"<p><p>We present the case of a female patient in whom acute hepatitis developed after 180 days of ketoconazole administration (200 mg/day). A prompt renewed hepatic injury after an unintentional rechallenge 6 months later provided definitive evidence for a causative relationship between ketoconazole and acute liver disease. The clinical and biochemical parameters of the case are reported. Histological examination revealed the picture of acute hepatitis with possible transition to chronicity. A prominent accumulation of perisinusoidal lipocytes (Ito cells) was observed.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 1","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00311.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14087882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LiverPub Date : 1987-02-01DOI: 10.1111/j.1600-0676.1987.tb00312.x
A Bremmelgaard, L Ranek, E Hage, N Tygstrup
{"title":"Congenital intrahepatic cholestasis with pigment deposits and abnormal bile acid metabolism. A variant of Dubin-Johnson's syndrome?","authors":"A Bremmelgaard, L Ranek, E Hage, N Tygstrup","doi":"10.1111/j.1600-0676.1987.tb00312.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00312.x","url":null,"abstract":"","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 1","pages":"31-7"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00312.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14696613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LiverPub Date : 1987-02-01DOI: 10.1111/j.1600-0676.1987.tb00313.x
S K Sarin, K Lal, G Sachdeva, R Nanda, R K Tandon
{"title":"Biliary lipid composition in patients with non-cirrhotic portal fibrosis--a comparison with compensated cirrhosis of the liver.","authors":"S K Sarin, K Lal, G Sachdeva, R Nanda, R K Tandon","doi":"10.1111/j.1600-0676.1987.tb00313.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00313.x","url":null,"abstract":"<p><p>Patients with non-cirrhotic portal fibrosis (NCPF) are known to have mild hepatic functional abnormalities. To study the biliary lipid composition in these patients, duodenal bile was collected from 18 patients with NCPF, 15 patients with non-alcoholic compensated cirrhosis of the liver and 18 matched, non-obese, healthy control subjects. There were no significant differences in the mean (+/- SD) concentrations of cholesterol, phospholipids and bile acids in patients with NCPF and healthy controls. On the other hand, patients with cirrhosis had significantly lower concentrations of all the three biliary lipids as compared with the NCPF patients and controls (p less than 0.05). The cholesterol solubilizing capacity of the bile was the same in NCPF patients, cirrhotics and controls. It is concluded that the relative proportions of the three biliary lipids remain unchanged in patients with NCPF despite mild hepatic derangement.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 1","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00313.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14696614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LiverPub Date : 1987-02-01DOI: 10.1111/j.1600-0676.1987.tb00309.x
J K Delladetsima, T Horn, H Poulsen
{"title":"Portal tract lipogranulomas in liver biopsies.","authors":"J K Delladetsima, T Horn, H Poulsen","doi":"10.1111/j.1600-0676.1987.tb00309.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00309.x","url":null,"abstract":"<p><p>Portal lipogranulomas in liver biopsy specimens were investigated. The incidence of biopsies containing portal lipogranulomas was 2.4%. Out of 20 biopsies with lipogranulomas 10 biopsies contained only one lipogranuloma. Portal lipogranulomas show a distinctive morphology with fat vacuoles surrounded by macrophages. They are consistently found together with parenchymal steatosis and probably originate from parenchymal fat being transported to portal tracts. Portal lipogranulomas are of importance in the differential diagnosis from other granulomas.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 1","pages":"9-17"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00309.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14696615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LiverPub Date : 1987-02-01DOI: 10.1111/j.1600-0676.1987.tb00310.x
K Kenmochi, S Sugihara, M Kojiro
{"title":"Relationship of histologic grade of hepatocellular carcinoma (HCC) to tumor size, and demonstration of tumor cells of multiple different grades in single small HCC.","authors":"K Kenmochi, S Sugihara, M Kojiro","doi":"10.1111/j.1600-0676.1987.tb00310.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00310.x","url":null,"abstract":"<p><p>The histologic features of 65 surgically resected cases of hepatocellular carcinoma (HCC) were studied, and the cellular differentiation was graded from I to IV according to Edmondson-Steiner's classification. HCC cells of 2 or more grades were seen in 31 (47.7%) of the 65 cases. There was no significant difference in the proportion of HCC composed of tumor cells of more than one histologic grade between HCCs with association with liver cirrhosis and without cirrhosis. Among these 31 cases, extremely well-differentiated HCC, corresponding to Edmondson-Steiner's grade I carcinoma, was found in 9 of 11 tumors smaller than 3 cm in diameter, but it was not seen in 20 tumors larger than 3 cm in diameter. In the 34 HCCs with a uniform histologic pattern, all of two minute tumors smaller than 1 cm in diameter consisted of extremely well-differentiated HCC, but there were no cases consisting of extremely well-differentiated HCC in tumors larger than 2 cm in diameter. Taken together, these findings suggest that HCCs originate as relatively well-differentiated tumors, which may be difficult to distinguish from adenomatous regenerative nodules, and become progressively less differentiated at a later stage of their development.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 1","pages":"18-26"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00310.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14166092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LiverPub Date : 1987-02-01DOI: 10.1111/j.1600-0676.1987.tb00315.x
T Poralla, T H Hütteroth, A Knuth, M Staritz, H P Dienes, K H Meyer zum Büschenfelde
{"title":"Spontaneous and antibody-dependent cellular immune reactions to ethanol-altered hepatoma cells.","authors":"T Poralla, T H Hütteroth, A Knuth, M Staritz, H P Dienes, K H Meyer zum Büschenfelde","doi":"10.1111/j.1600-0676.1987.tb00315.x","DOIUrl":"https://doi.org/10.1111/j.1600-0676.1987.tb00315.x","url":null,"abstract":"<p><p>Spontaneous cell-mediated cytotoxicity (SCMC), antibody-dependent cellular cytotoxicity (ADCC) and proliferative lymphocyte stimulation in alcoholic liver disease (ALD) were investigated. Peripheral blood lymphocytes (PBL) from eight patients with advanced ALD and nine normal controls were tested against hepatoma cells (PLC/PRF/5) as targets. Target cells were grown in either normal culture medium or medium supplemented with 1 and 5% ethanol, respectively, for 24 to 48 h. Ethanol-exposed hepatoma cells exhibited profound and characteristic morphological alterations. Ethanol preincubation, however, proved to be without effect on immune reactions. Provided that hepatoma cells are an appropriate model, we assume that the proposed immune reactions in ALD are based on metabolic interactions operative only in vivo but do not parallel morphological alterations of liver cells directly induced by ethanol.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"7 1","pages":"50-7"},"PeriodicalIF":0.0,"publicationDate":"1987-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1600-0676.1987.tb00315.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14166093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Steroids in chronic B-hepatitis. A randomized, double-blind, multinational trial on the effect of low-dose, long-term treatment on survival. A trial group of the European Association for the Study of the Liver.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effect of long-term, low-dose prednisolone treatment on the survival of patients with chronic B-hepatitis was studied in a randomized, double-blind multicentre trial. Twenty-two centres from 11 European countries included 99 patients in the trial. Survival analysis showed 2.9 (95% confidence limit 0.9-9) times greater mortality in the prednisolone than in the placebo group (P = 0.07). In a Cox regression analysis, correcting for the influence of other prognostic factors, the detrimental effect of prednisolone treatment was unchanged. Mortality increased significantly with age, and patients without piece-meal necrosis had 7 times higher mortality than those with this change on entry to the trial. It is concluded that long-term, low-dose prednisolone treatment is very unlikely to be beneficial, and should be considered harmful in chronic B-hepatitis, particularly in the most severe and advanced cases.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"6 4","pages":"227-32"},"PeriodicalIF":0.0,"publicationDate":"1986-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14013983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Glafenine-associated hepatic injury. Analysis of 38 cases and review of the literature.","authors":"B H Stricker, A P Blok, F B Bronkhorst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Glafenine was associated with hepatic injury in 38 cases. The causal relationship was assessed on the basis of the temporal relationship with drug use, course and exclusion of other causes. In 27 cases a causal relationship was considered likely, i.e. 'probable' (12 cases) or 'possible' (15 cases), whereas in 11 cases it was either unlikely or unclassifiable. In both the 'probable' and 'possible' groups 60-70% of individuals were women. Jaundice was present in three-quarters of cases in both groups. Eosinophilia was more frequent in the group of 'probable' cases, and this group had the highest case-fatality rate (42%). Onset varied from 2 days (after a rechallenge) to 8 months, but most cases appeared between 2 weeks and 4 months after starting therapy. Histology in 22 cases showed a predominantly hepatocellular pattern, varying from spotty panlobular necrosis, centrilobular and (sub)massive necrosis (acute pattern) to fibrosis and cirrhosis (chronic pattern). The chemical structure of glafenine and the clinicopathological pattern it induces resemble that of cinchophen. The incidence is unknown. Either metabolic idiosyncrasy or an immunoallergic mechanism seems to be responsible.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"6 2","pages":"63-72"},"PeriodicalIF":0.0,"publicationDate":"1986-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14012256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F Callea, J Fevery, G Massi, C Lievens, J de Groote, V J Desmet
{"title":"Alpha-1-antitrypsin (AAT) and its stimulation in the liver of PiMZ phenotype individuals. A \"recruitment-secretory block\" (\"R-SB\") phenomenon.","authors":"F Callea, J Fevery, G Massi, C Lievens, J de Groote, V J Desmet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>PiMZ individuals in conditions of clinical stimulation show a peculiar immunohistochemical staining pattern for alpha-1-antitrypsin (AAT) in the liver: 1) the positivity involves large zones of parenchyma (up to 100% of hepatocytes); 2) in zone 2 and zone 3 hepatocytes the positivity appears in the form of crescents or rectilinear arrays along the sinusoids. This new pattern is designated type II, in contrast to type I which occurs in periportal hepatocytes in the form of inclusions spread over the whole cytoplasm. This peculiar staining pattern is associated with serum elevation of AAT and is considered to be an expression of liver reactivity. Type II positivity marks the hepatocytes which are newly recruited for the synthesis of AAT; owing to its defective export, the Z AAT is retained within the cell and detectable by immunohistochemistry. Thus this staining pattern is an expression of both recruitment for synthesis and block of secretion (\"Recruitment-Secretory Block\" \"R-SB\" phenomenon). In PiMZ individuals, the secretory block affects selectively and exclusively the Z fraction of AAT. At the EM level the vast majority of the retained protein is found in the RER, which represents the major and the earliest site of storage. Viewed in the framework of present knowledge of glycoprotein biosynthesis, the results of this study shed further light on the nature and cellular site of the Z AAT defect.</p>","PeriodicalId":18183,"journal":{"name":"Liver","volume":"4 5","pages":"325-37"},"PeriodicalIF":0.0,"publicationDate":"1984-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17395409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}