Liver biopsy findings in chronic hepatitis B
Haresh Mani, David E. Kleiner – 27 April 2009 – Liver biopsy plays a central role in treatment algorithms in patients with hepatitis B and remains the gold standard for evaluating hepatic pathology. The pathology of hepatitis B is diverse and reflects the natural history of infection. An acute hepatitic pattern with lobular disarray is seen in acute infection, during acute flares of disease, and with acute hepatitis D superinfection. In chronic hepatitis B, inflammation is less pronounced in the immune‐tolerant phase and is prominent during immune‐mediated viral clearance.