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Ballooning degeneration

form of liver parenchymal cell (i.e. hepatocyte) death

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Record originEnglish Wikipedia
Text licenseCC BY-SA 4.0
Source revisionJun 13, 2024
Entity authorityQ4851876 ↗
Source-derived summary

In histopathology, ballooning degeneration, formally ballooning degeneration of hepatocytes, is a form of liver parenchymal cell (i.e. hepatocyte) death.

The name is derived from the fact that the cells undergoing this form of cell death increase in size (balloon).

It is generally considered a form of apoptosis, and is a descriptor used in the context of inflamed fatty liver (steatohepatitis) (which may be due to obesity or alcohol), as well as viral hepatitis.

The histomorphological appearance of ballooning degeneration is not pathognomonic for steatohepatitis, but usage of the term is generally confined to the condition, i.e. in the context of other histopathological findings the label ballooning degeneration is not used for cell death with cytoplasmic clearing and cell swelling.

Appearance

Ballooned cells are typically two to three times the size of adjacent hepatocytes and are characterized by a wispy cleared cytoplasm on H&E stained sections. They can be differentiated from adipocyte-like cells by their cytoplasm and nucleus; ballooned cells have their nucleus in the centre (unlike adipocyte-like cells, which have it peripherally). Also, ballooned cells have (small) pyknotic nuclei or nuclei that are undergoing karyorrhexis, i.e. in the process of disintegrating.

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“Ballooning degeneration” enters the record as form of liver parenchymal cell (i.e. hepatocyte) death. Crown Archives preserves that source wording while asking what Ballooning, degeneration and form can confirm, complicate or overturn.

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This entry incorporates text from “Ballooning degeneration” on English Wikipedia. Contributors are listed in the page history. Text is available under the Creative Commons Attribution-ShareAlike 4.0 License. Selected authority identifiers and statements are retrieved from Wikidata under CC0; their references and qualifiers remain part of the verification path.