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liver-diseases
Chronic Hepatitis (staging)
Dr. Wu's Liver diseases
for professionals (medical students and residents)

(by Jau-Shin WU, M.D., Ph.D.)
( Last updated Oct.. 14, 2005 )
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Chronic Hepatitis (staging)

For consumers:

(Key words: chronic hepatitis, staging)

For professionals:

Several scoring systems have been proposed to evaluate the amount of fibrosis in chronic hepatitis.(Table by Desmet, 1994)

Score Description Knodel Sciot and Desmet
(unpublished)		 Scheuer
0 No fibrosis No fibrosis None None
1 Mild fibrosis Fibrous portal
expansion 		Periportal fibrous
expansion		 Enlarged,fibrotic
portal tracts
2 Moderate fibrosis(blank) Porto-portal septa
(> 1 septum)		 Periportal or portal-portal septa,
but intact architecture
3 Severe fibrosis Bridging fibrosis
(portal-portal or
portal-central linkage 		Portocentral septa
(> 1 septum) 		Fibrosis with architectural
distortion, but no
obvious cirrhosis
4 Cirrhosis Cirrhosis Cirrhosis Probable or definite
cirrhosis

From: Desmet: Hepatology:(1994); 19:1513,; Knodell: Hepatology:(1981); 1:431,; Scheuer: J Hepatology:(1991); 13:372.

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(Dr. Wu's Liver D) Since Feb. 04, 1998

(Olddoc)Since Jan. 24, 2003

(TMN) Since Jan. 24, 2003
(TMN) Since June 09, 2002

(By Jau-Shin Wu, M.D.;Posted Sep. 1996; Revised Apr. 24, 2003 )