pas positive diastase resistant globules


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  • What causes PAS-positive diastase-resistant globules?

    They were always present in the centrilobular areas and most likely were the result of sinusoidal congestion and anoxia. The immunocytochemical method is useful in separating the two types of PAS-positive, diastase-resistant globules. Type 1 inclusions are associated with alpha 1 antitrypsin deficiency.

  • Are cytoplasmic PAS diastase positive globules compatible with Alpha-1 antitrypsin defic?

    Hepatocytes with cytoplasmic PAS diastase positive globules compatible with alpha-1 antitrypsin deficiency Comment: Immunohistochemistry for AAT is positive in the cytoplasmic globules and supports the diagnosis. Correlation with laboratory findings is recommended.

  • Are PAS-positive diastase-resistant globules a symptom of alcoholic cirrhosis?

    For instance, PAS-positive diastase-resistant globules are known to occur in end-stage liver disease, including alcoholic cirrhosis, in the absence of AAT deficiency. 3, 4 Studies by Popper et al 5 and Biava 6 also described PAS-positive diastase-resistant structures in normal as well as abnormal liver tissue.

  • What are PAS-positive diastase-resistant hepatocyte inclusions?

    In seven of these patients, PAS-positive, diastase-resistant inclusions were seen in the hepatocytes; in two patients, these inclusions contained a material antigenically similar to alpha-1-antitrypsin. These inclusions might represent deposits of glycoproteins poorly excreted by the diseased hepatocytes.

Abstract

The presence of periodic acid-Schiff–positive (PAS) diastase-resistant globules has been well documented in the hepatocytes of patients affected by α-1-antitrypsin (AAT) deficiency. These globules are usually characteristically distributed in zone 1 (periportal) of the hepatic lobule and are positive by immunohistochemistry (IHC) with antibodies di

Material and Methods

We retrospectively reviewed our pathology database for liver biopsies obtained between January 1994 and January 2018 showing features characteristic of venous outflow impairment (VOI). These features included zone 3 congestion, sinusoidal dilatation Image 1A, hepatocellular plate atrophy, and erythrocyte (RBC) extravasation, with or without perisin

Results

A total of 64 liver biopsies were reviewed. Among these biopsies, 31 subjects were male and 33 were female. The mean age at biopsy was 49 years (range, 18-84 years). The causes of hepatic congestion included: 11 cardiac congestion, 21 Budd-Chiari syndrome, and seven amyloidosis. The clinical findings in the remaining cases were consistent with VOI,

Discussion

The current study analyzed, in a well-characterized sample of eight patients, the prevalence and clinopathologic aspects of a relatively rare histologic finding, that is hepatocellular cytoplasmic globules in the setting of VOI and in the absence of ATT deficiency. Besides the typical AAT-deficiency globules, PAS-positive diastase-resistant hepatoc

Conclusions

Based on our current study, PAS-positive diastase-resistant cytoplasmic globules, although relatively rare, can occur in the hepatocytes of adult individuals affected by VOI, regardless the cause of the impairment. These globules are positive for AAT by immunostain but can be distinguished from AAT globules by their appearance, lack of zone 1 local

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