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(A) Liver biopsy showing noncaseating epithelioid granulomas with multiple multinucleated giant cells (arrows) effacing the portal tracts and lobular areas. Mild portal and lobular inflammation are also present consisting of lymphocytes with scattered plasma cells and eosinophils. (B) A higher magnification of a granuloma showing multinucleated giant cells (arrows).
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F1
Liver biopsy demonstrated granulomas with giant cells in portal and periportal areas extending to lobular areas, consistent with giant cell granulomatous hepatitis (Figure 1).
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