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Pathology Liver & Biliary Tract 72436987

Which of the following is feature of arsenic toxicity?

A
Cirrhosis of liver
B
Non-cirrhotic portal fibrosis
C
Hepatocellular carcinoma
D
Hepatoma
High-Yield Explanation
Ans. b (Non-cirrhotic portal fibrosis)> C. HCC. (Ref. Robbin's pathology, 7th ed., pg 907; Table 18-8)Hepatocellular damageExamplesAngiosarcomaVinyl chlorideNCPFArsenicMicrovesicular fatty changeTetracycline, salicylates yellow phosphorus, ethanolMacro vesicu lar fatty changeEthanol, methotrexate, amiodaroneCentrilobular necrosisBromobenzane, CCI4, acetaminophen, halothane, rifampinDiffuse or massive necrosisHalothane, isoniazid acetaminophen, methyldopa, trinitrotoluene,Amanita phylloides (mushroom) toxinHepatitis, acute and chronicMethyldopa, isoniazide, nitrofurantoin, phenytoin, oxyphenisatinFibrosis-cirrhosisEthanol, methotrexate, amiodarone, most drugs that cause chronic hepatitisGranuloma formationSulfonamides, methyldopa, quinidine, phenylbutazone, hydrala zine, allopurinolCholestasis (with or without hepato cellular injury) contraceptives, organic arsenicalsChlorpromazine, anabolic steroids, erythromycin estolate, oralContraceptives, organic arsenicals

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