Microvesicular steatosis pathology outlines. Some cases may show residual pericellular fibrosis. These morphological features are common findings in both autoimmune hepatitis and In microvesicular steatosis, the cytoplasm of hepatocytes is filled with tiny lipid droplets, and the nucleus is located centrally in the cell. The two In contrast, microvesicular steatosis has numerous uniform tiny droplets of lipid per hepatocyte and the nucleus is usually centrally located. The fat in this type is finely divided and the nucleus remains central. Liver histology shows inflammatory damage associated with lymphoid follicle formation and steatosis. 2). In contrast, ‘true' microvesicular steatosis consists of much smaller, uniform fat droplets dispersed throughout the hepatocyte, and often requires special stains such as oil red O to detect . The pattern of steatosis alludes to the Cirrhosis with histologic features of NAFLD best considered NASH cirrhosis. 7. Steatosis in NAFLD is Pathophysiologically, the development of microvesicular steatosis is thought to be secondary to impairment of beta oxidation due to inherited or acquired mitochondrial DNA mutations Microvesicular steatosis is seen in a variety of conditions which have in common abnormalities of mitochondrial function and in particular defects in beta-oxidation; this includes acute fatty liver of Steatosis, or fatty change, is the accumulation of fat droplets in the hepatocyte cytoplasm, and can be classified as macrovesicular or microvesicular based on the size of the lipid droplets The less common and often more serious type is microvesicular steatosis (Fig.
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