Drug and herbal/dietary supplements-induced liver injury: A tertiary care center experience

Figure 5 Liver injury secondary to hydroxycut. Liver parenchyma with expansion of the portal areas by a mixed inflammatory infiltrate comprising lymphocytes, eosinophils, rare plasma cells and scattered neutrophils. There is evidence of bile duct injury with infiltration of the bile duct epithelium by inflammatory cells (20 ×). The lobules show macrovesicular steatosis, feathery degeneration of hepatocytes, minimal lobulitis, and focal cholestasis (insert 40 ×).