PMC6815554_01
Acute cholestatic hepatitis. (a) Portal inflammation with bile ductular reaction and periportal hepatocyte injury (H&E 100X). (b) Lobular disarray characterized by lobular inflammation, acidophil bodies, and cholestasis (H&E 200X).
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fig1
Overall, the morphologic changes noted were thought to be found most commonly in the setting of medication or toxin-induced injury (including herbal medication) (Figure 1).
Trend of liver enzymes during admission and in the outpatient setting.
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fig2
After two months of close follow up, all numbers came back to normal levels, and patient was discharged from clinic (Figure 2).