Pathological features and pathological diagnosis of drug-induced liver injury
Based on liver histology, drug-induced liver injury (DILI) is classified as various pathological types of inflammatory necrosis, cholestasis, fatty degeneration and fatty liver disease, vascular injury, and minimal lesion. Histopathological examination is required for further differential diagnosis...
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Editorial Department of Journal of Clinical Hepatology
2021
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oai:doaj.org-article:c4732eef13924872a9bbb809173889272021-11-17T10:37:40ZPathological features and pathological diagnosis of drug-induced liver injury1001-5256https://doaj.org/article/c4732eef13924872a9bbb809173889272021-11-01T00:00:00Zhttp://www.lcgdbzz.org/cn/article/doi/10.3969/j.issn.1001-5256.2021.11.005https://doaj.org/toc/1001-5256Based on liver histology, drug-induced liver injury (DILI) is classified as various pathological types of inflammatory necrosis, cholestasis, fatty degeneration and fatty liver disease, vascular injury, and minimal lesion. Histopathological examination is required for further differential diagnosis in suspected cases of DILI, liver injury that cannot be explained by DILI monogenesis, DILI cases with a history of exposure to various drugs in which the specific drug causing liver injury cannot be determined, DILI cases with unsatisfactory treatment outcome, and chronic DILI, and histopathological examination can also be used to evaluate the severity and prognosis of DILI. Since liver lesions are unevenly distributed in DILI, adequate tissue samples are needed to reduce sampling error. The histopathological manifestation of liver injury diseases has the features of “one cause with multiple results and one result with multiple causes”, and a combination of pathological examination and clinical symptoms can help to make a confirmed diagnosis, suggesting that clinicopathological discussion is of great importance in the histological diagnosis of DILI.YANG YongfengEditorial Department of Journal of Clinical HepatologyarticleDiseases of the digestive system. GastroenterologyRC799-869ZHLinchuang Gandanbing Zazhi, Vol 37, Iss 11, Pp 2530-2533 (2021) |
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Diseases of the digestive system. Gastroenterology RC799-869 |
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Diseases of the digestive system. Gastroenterology RC799-869 YANG Yongfeng Pathological features and pathological diagnosis of drug-induced liver injury |
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Based on liver histology, drug-induced liver injury (DILI) is classified as various pathological types of inflammatory necrosis, cholestasis, fatty degeneration and fatty liver disease, vascular injury, and minimal lesion. Histopathological examination is required for further differential diagnosis in suspected cases of DILI, liver injury that cannot be explained by DILI monogenesis, DILI cases with a history of exposure to various drugs in which the specific drug causing liver injury cannot be determined, DILI cases with unsatisfactory treatment outcome, and chronic DILI, and histopathological examination can also be used to evaluate the severity and prognosis of DILI. Since liver lesions are unevenly distributed in DILI, adequate tissue samples are needed to reduce sampling error. The histopathological manifestation of liver injury diseases has the features of “one cause with multiple results and one result with multiple causes”, and a combination of pathological examination and clinical symptoms can help to make a confirmed diagnosis, suggesting that clinicopathological discussion is of great importance in the histological diagnosis of DILI. |
format |
article |
author |
YANG Yongfeng |
author_facet |
YANG Yongfeng |
author_sort |
YANG Yongfeng |
title |
Pathological features and pathological diagnosis of drug-induced liver injury |
title_short |
Pathological features and pathological diagnosis of drug-induced liver injury |
title_full |
Pathological features and pathological diagnosis of drug-induced liver injury |
title_fullStr |
Pathological features and pathological diagnosis of drug-induced liver injury |
title_full_unstemmed |
Pathological features and pathological diagnosis of drug-induced liver injury |
title_sort |
pathological features and pathological diagnosis of drug-induced liver injury |
publisher |
Editorial Department of Journal of Clinical Hepatology |
publishDate |
2021 |
url |
https://doaj.org/article/c4732eef13924872a9bbb80917388927 |
work_keys_str_mv |
AT yangyongfeng pathologicalfeaturesandpathologicaldiagnosisofdruginducedliverinjury |
_version_ |
1718425634952183808 |