The process of liver fibrosis in chronic hepatitis C - histological and immunohistochemical study

Liver fibrosis is one of the most serious histopathological (HP) lesions that, together with the inflammatory process and the hepatocyte lesions, determine the change of the liver architecture, having as a clinical result the onset of liver failure phenomena. Hepatitis C virus represents one of the...

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Veröffentlicht in:Romanian journal of morphology and embryology 2018, Vol.59 (4), p.1121-1126
Hauptverfasser: Popescu, Nicoleta Laura, Predescu, Octavian Ion, Badea, Oana, Pirici, Ionica, Pantiş, Carmen, Busuioc, Cristina Jana, Cotoi, Bogdan Virgil, Mogoantă, Laurenţiu
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container_end_page 1126
container_issue 4
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container_title Romanian journal of morphology and embryology
container_volume 59
creator Popescu, Nicoleta Laura
Predescu, Octavian Ion
Badea, Oana
Pirici, Ionica
Pantiş, Carmen
Busuioc, Cristina Jana
Cotoi, Bogdan Virgil
Mogoantă, Laurenţiu
description Liver fibrosis is one of the most serious histopathological (HP) lesions that, together with the inflammatory process and the hepatocyte lesions, determine the change of the liver architecture, having as a clinical result the onset of liver failure phenomena. Hepatitis C virus represents one of the most frequent conditions leading to the onset of liver fibrosis and favors the progression of the disease towards hepatocellular carcinoma. We evaluated the HP and immunohistochemical (IHC) aspects on fragments of liver biopsies taken from 104 patients diagnosed with chronic hepatitis C and altered capacity of work. In our study, we observed a growth of the portal (Kiernan) spaces by the presence of a chronic inflammatory infiltrate, the presence of collagen fibers and conjunctive matrix. The density and dimensions of collagen fibers were correlated with the severity of the liver disease, in the severe forms being highlighted porto-portal and porto-central fibrous bridges. The IHC examinations highlighted the change of the phenotype of perisinusoidal dendritic cells, the growth of the myofibroblast cells in the portal spaces, the growth of the macrophage number in the inflammatory infiltrate and of the Kupffer cells in the liver parenchyma.
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subjects Dendritic Cells - pathology
Hepatitis C, Chronic - complications
Hepatitis C, Chronic - pathology
Humans
Immunohistochemistry
Kupffer Cells - pathology
Liver Cirrhosis - complications
Liver Cirrhosis - pathology
Macrophages - pathology
Myofibroblasts - pathology
title The process of liver fibrosis in chronic hepatitis C - histological and immunohistochemical study
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