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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1992-6-19
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pubmed:abstractText |
Liver pathology was assessed in 135 patients with well-defined genetic hemochromatosis ranging from mild disease to severe overload. Three lesions were clearly linked to iron-overload intensity--scarce sidero-necrosis, mild inflammation, and progressive fibrosis. Iron-free foci made of typical or dysplastic hepatocytes were found in 7.4% of the cases. An original grading allowed a reliable quantification of iron and the study of cellular and lobular distribution of iron, which permitted (a) the accurate identification of a decreasing iron gradient in hepatocytes from zone 1 to zone 3 in all cases, (b) the definition of a threshold hepatocytic/mesenchymal iron ratio related to the appearance of sidero-necrosis and to the development of fibrosis, and (c) demonstration that non-iron-related factors (mainly alcoholism) could shift iron from hepatocytes to sinusoidal cells without an increase in the total liver iron amount. This study provides a dynamic view of the iron overload process and suggests that sidero-necrosis and progressive sinusoidal iron overload play a role in the development of fibrosis in human genetic hemochromatosis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0016-5085
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
102
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2050-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1587423-Adolescent,
pubmed-meshheading:1587423-Adult,
pubmed-meshheading:1587423-Aged,
pubmed-meshheading:1587423-Female,
pubmed-meshheading:1587423-Hemochromatosis,
pubmed-meshheading:1587423-Homozygote,
pubmed-meshheading:1587423-Humans,
pubmed-meshheading:1587423-Iron,
pubmed-meshheading:1587423-Liver,
pubmed-meshheading:1587423-Male,
pubmed-meshheading:1587423-Middle Aged
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pubmed:year |
1992
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pubmed:articleTitle |
Liver pathology in genetic hemochromatosis: a review of 135 homozygous cases and their bioclinical correlations.
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pubmed:affiliation |
Clinique des Maladies du Foie, Inserm U49, Rennes, France.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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