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Congestive hepatopathy, is liver dysfunction due to venous congestion, usually due to congestive heart failure. The gross pathological appearance of a liver affected by chronic passive congestion is "speckled" like a grated nutmeg kernel; the dark spots represent the dilated and congested hepatic venules and small hepatic veins.
Ischemic hepatitis is related to another condition called congestive hepatopathy. Congestive hepatopathy includes a number of liver disorders that occur in right-sided heart failure. The medical term congestive hepatopathy is used, however, the term cardiac cirrhosis is convention. These two entities can coexist in an affected individual. [12]
Nutmeg texture of congestive hepatopathy. Treatment. Ursodeoxycholic acid. Anti-viral medications are available to treat infections such as hepatitis B. [56]
In congestive hepatopathy there are erythrocytes and a greater amount of fibrosis in the tissue surrounding the hepatic veins. [99] In primary biliary cholangitis, there is fibrosis around the bile duct, the presence of granulomas and pooling of bile. [100] Lastly in alcoholic cirrhosis, there is infiltration of the liver with neutrophils. [97]
Chronic liver disease in the clinical context is a disease process of the liver that involves a process of progressive destruction and regeneration of the liver parenchyma leading to fibrosis and cirrhosis. [1] "
Chronic hepatitis B management aims to control viral replication, which is correlated with progression of disease. [20] Seven drugs are approved in the United States: [20] Adefovir dipivoxil, a nucleotide analogue, has been used to supplement lamivudine in patients who develop resistance, but is no longer recommended as first-line therapy. [20]
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Acute liver failure is the appearance of severe complications rapidly after the first signs (such as jaundice) of liver disease, and indicates that the liver has sustained severe damage (loss of function of 80–90% of liver cells).
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