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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Histopathology 8 (1984), S. 0 
    ISSN: 1365-2559
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: An ultrastructural study of the cytology of piecemeal necrosis in 12 liver biopsies from patients with chronic active (aggressive) hepatitis revealed a variety of cell types. This communication deals with two particular cell types, only observed in areas of severe piecemeal necrosis—interdigitating reticulum cells (IDRCs) and dendritic reticulum cells (DRCs). IDRCs are typical components of T-cell regions in lymphoid organs. Cells with the characteristics of IDRCs were found in severe piecemeal necrosis at the periphery of portal tracts and in periportal areas. This suggests that areas of periportal piecemeal necrosis are analogous to the T-cell regions of lymphoid organs during immune reactions. DRCs are typical components of B-cell regions in lymphoid organs. Cells with the characteristics of DRCs were found in the central parts of portal tracts with follicle-like aggregations of lymphocytes, as seen in some cases with pronounced piccemeal necrosis. This finding suggest that follicle-like lymphocytic aggregates in portal tracts are analogous to the B-cell regions of lymphoid organs during immune reactions. A mesenchymal origin of DRCs is suggested. The finding of IDRCs and DRCs in severe piecemeal necrosis emphasizes the fundamental similarity of immune reactions in the liver to those in lymphoid organs. These data are discussed in relation to immunological findings in chronic active hepatitis.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Histopathology 9 (1985), S. 0 
    ISSN: 1365-2559
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Ultrastructurat features of 12 liver biopsies from patients with chronic active hepatitis were studied, particular attention being paid to endothelial cells. In areas of piecemeal necrosis and parenchymal inflammation sinusoidal endothelial cells show swelling of the cytoplasm, protrusion of the cell body into the sinusoidal lumen, increase in micropinocytotic vesicles and appearance of numerous dense bodies. This cell type is termed ‘active endothelial cell. Subsequent changes include enlargement of the Golgi complex, increase of rough endoplasmic reticulum in cytoplasmic processes with concomitant decrease of dense bodies, appearance of a fuzzy coat and formation of hemidesmosomes in close relationship to basement membrane-like material and reticulin fibres in the space of Disse. The latter ultrastructural characteristics correspond to those of ‘fibroblastic reticulum cells’ described in lymph nodes. Active endothelial cells and fibroblastic reticulum cells may play a protective role in liver parenchymal inflammation by reducing the accessibility of noxious agents from the blood stream to liver parenchymal cells, and be crucial in the initiation of perisinusoidal fibrosis.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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