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Liver Transplant (Expert Forum)
Biopsy report psot 1 year liver transplant
Answered by
Thomas D Schiano, MD - Internal Medicine, Gastroenterology, Liver Transplantation, Hepatology
The Mount Sinai Medical Center
New York - NY
Questions posted in the Liver Transplant . Forum are answered by medical professionals from The Mount Sinai Medical Center.
Biopsy report psot 1 year liver transplant
by pankaj8k, Jun 30, 2009 12:35AM
Dear Doctor, Its is really almost a month you wanted to know about my son's/ Chaitanya 9 yrs/post liver transplant. biopsy report. The report says as follows:
Liver biopsy shows maintained lobular architecture.Portal tracts show moderate amount of mononuclear cell infiltration. There is no interphase hepatitis. Focal collection of lymphocytes are also seen scattered within otherwise unremarkeble hepatocytes.No significant increase plasma cells are seen. No fibrosis noted.
Impression:
Liver Biopsy- No features of Autoimmune hepatitis,
My sons two tests are out of range since long time. Protien Globulin and serum igG is out of range.My son.'s tac level is 2.5 mg BD, Wysolone 2.5 mg OD
Could you advise right course of treatment and how we can take care of Globulin and IgG.
Thanking you
Liver biopsy shows maintained lobular architecture.Portal tracts show moderate amount of mononuclear cell infiltration. There is no interphase hepatitis. Focal collection of lymphocytes are also seen scattered within otherwise unremarkeble hepatocytes.No significant increase plasma cells are seen. No fibrosis noted.
Impression:
Liver Biopsy- No features of Autoimmune hepatitis,
My sons two tests are out of range since long time. Protien Globulin and serum igG is out of range.My son.'s tac level is 2.5 mg BD, Wysolone 2.5 mg OD
Could you advise right course of treatment and how we can take care of Globulin and IgG.
Thanking you
Doctor's Answer
by Thomas D Schiano, MD, Jun 30, 2009 06:43AM
, Jun 30, 2009 06:43AM
autoimmune hepatitis sometimes may not show classical histological findings so a short course of corticosteroids may be warranted to see if the liver test abnormalities may improve. repeat biopsy may also be warranted. they should also exclude post transplant lymphoproliferative disease.
