Histology Course A IV 61 Department of Pathology, University of Zurich Histokurs

A IV 61 glycogenosis, liver HE  
  ICD-10: E74.0:
 
   
3-year-old girl had a history of severe growth retardation, hypoglycemia, seizures and hepato-splenomegaly (specimen from autopsy).
 
- The architecture of the hepatic parenchyma is maintained.
- The hepatocytes are large with centrally placed nuclei. The cytoplasm appears clear, in part coarse granules or large vacuoles with a mucinous content are present (during preparation the excess glycogen is lost).
- Some hepatocytes display macrovesicular steatosis (loss of membrane-bound triglycerides during staining).