Curriculum for Specialty Certificate Examination in Gastroenterology

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Monday 19 November 2012

alpha-1-antitrypsin deficiency

This image shows part of liver biopsy taken from a patient with alpha-1-antitrypsin deficiency. 
It has been stained with period-acid Schiff, which strongly stains intrahepatic globules pink [long black arrow]. The hepatocytes containing the globules are concentrated adjacent to a band of fibrous tissue [long black and white arrow]. A mild inflammatory infiltrate and myofibroblastic cells are seen associated with the fibrous tissue [short black and white arrow]. It is likely that this patient has early fibrosis wild mild active hepatitis. If this continues the patient is at risk of developing overt cirrhosis.

2 comments:

  1. Α-1 antitrypsin deficiency results in the accumulation of AAT globules in hepatocytes, which have a pink colour with the diastase-Periodic acid Schiff stain and can be highlighted with the aid of a specific immunohistochemical marker

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  2. I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
    liver already present. I started on antiviral medications which
    reduced the viral load initially. After a couple of years the virus
    became resistant. I started on HEPATITIS B Herbal treatment from
    ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
    treatment totally reversed the virus. I did another blood test after
    the 6 months long treatment and tested negative to the virus. Amazing
    treatment! This treatment is a breakthrough for all HBV carriers.

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