National Liver EQA Scheme Circulation C1 Autumn 2010
EQA Meeting Discussion for circulation C1 - Virtual Pathology at the ...
EQA Meeting Discussion for circulation C1 - Virtual Pathology at the ...
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Case 355<br />
morphology<br />
32 portal inflammation with granuloma – PBC<br />
18 other portal inflammation and bile duct damage<br />
8 biliary features not mentioned<br />
clinicopathological<br />
34 c/w PBC<br />
12 overlap with AIH/PBC<br />
2 autoimmune cholangitis<br />
3 c/w AIH/cholangitis<br />
1 c/w antibody negative PBC, exclude drugs<br />
1 CAH (lupoid) SLE?<br />
3 AIH and steatosis<br />
2 steatohepatitis, no features ofautoimmune disease<br />
21 steatohepatitis<br />
39 steatosis<br />
2 no mention of fatty change<br />
28 – responses included comment on<br />
NASH/ASH<br />
1 steatohepatitis – PBC unlikely(negative M2 and Cu protein) AIH unlikely, exclude<br />
hepatitis C<br />
1 ? viral hepatitis, esp Hep C<br />
1 morphology description only<br />
Agreed scoring: morphology deduct 5 points if no mention of portal granuloma/other bile<br />
duct damage. or none of fatty change.<br />
Clinicopathological – insufficient consensus for this part to be scored.
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