Liver damage patterns Flashcards
microvesicular steatosis
can cause acute liver failure
- tetracycline
- pregnancy
- valproate
- Reye syndrome
Pattern of Injury:
-Cholestatic
Morphology:
-bland hepatocellular cholestasis w/o inflammation
- contraceptives/estrogen
- anabolic steroids
- Abx
- HAART
Pattern of Injury:
-cholestatic hepatitis
Morphology:
-cholestasis w/ lobular necroinflammation w/ or w/o duct destruction
- Abx
- Statins
- Phenothiazine
Pattern of Injury:
-Hepatocellular necrosis
Morphology:
-spotty necrosis
- methyldopa
- phenytoin
Pattern of Injury:
-Hepatocellular necrosis
Morphology:
-massive necrosis
- acetominophen
- halothane
Pattern of Injury:
-Hepatocellular necrosis
Morphology:
-chronic hepatitis
-isoniazid
Pattern of Injury:
-fibrosis & cirrhosis
Morphology:
-periportal & pericellular
- alcohol
- methotrexate
- enalopril
- vit A & retinoids
Pattern of Injury:
-Granulomas
Morphology:
-noncaseating epithelioid
- sulfonamides
- amiodarone
- isoniazid
Pattern of Injury:
-Granulomas
Morphology:
-fibrin ring granuloma
-Allopurinol
Pattern of Injury:
-Fatty liver
Morphology:
-large & small droplet
- EtOH
- corticosteroids
- methotrexate
- TPM
Pattern of Injury:
-Fatty liver
Morphology:
-steatohepatitis w/ mallory-denk bodies
- EtOH (acetaldehyde)
- Amiodarone
Pattern of Injury:
-Fatty liver
Morphology:
-steatohepatitis w/ mallory-denk bodies
- EtOH
- Amiodarone
Pattern of Injury:
-Vascular lesion
Morphology:
-sinusoidal obstruction/ veno-occlusion of central vein
- high does chemo
- bush teas
Pattern of Injury:
-Vascular lesion
Morphology:
-Budd-Chiari: hepatic vein occlusion
-oral contraceptives
Pattern of Injury:
-Vascular lesion
Morphology:
-Peliosis hepatitis (dilation of sinusoids)
- anabolic steroids
- tamoxifen