Histopathological findings from the investigation of paediatric acute hepatitis of unknown aetiology, United Kingdom 2022

Helen Callaby* (Corresponding Author), Emma McGuire, Sanjay Rajwal, Jens Stahlschmidt, Jane Hartley, Rachel M. Brown, Maesha Deheragoda, Alberto Quaglia, Tommy Rampling, Catherine F. Houlihan, N. Claire Gordon, Colin S. Brown, Ruth Simmons, Anda Samson, Sema Mandal, Tassos Grammatikopoulos, Alicia Demirjian

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

In 2022, there were global reports of increased numbers of acute hepatitis not explained by hepatitis A–E virus infection in children. This manuscript summarises histopathology results from 20 patients in the United Kingdom who underwent liver transplant or had a liver biopsy as part of aetiological investigations. All available histopathological samples were reviewed centrally as part of the outbreak investigation. A working group comprised of infection specialists, hepatologists and histopathologists met virtually to review the cases, presentation, investigations and histopathology. All 20 liver samples had evidence of inflammation without significant interface activity, and submassive confluent pan-lobular or multilobular hepatocellular necrosis. Overall, the predominant histopathological findings were of acute nonspecific hepatitis with submassive hepatic necrosis and central vein perivenulitis and endothelitis. Histopathological findings were a poor indicator of aetiology.

Original languageEnglish
Pages (from-to)534-538
Number of pages5
JournalJournal of pediatric gastroenterology and nutrition
Volume78
Issue number3
Early online date8 Feb 2024
DOIs
Publication statusPublished - Mar 2024

Keywords

  • hepatitis
  • histopathology
  • liver failure
  • paediatric
  • transplant

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