Viral Infections · Pathology

Which of the following describes the 'Ground-glass' appearance of hepatocytes in chronic Hepatitis B infection?

  1. Lipid droplets in hepatocyte cytoplasm (steatosis)
  2. HBsAg accumulation within the smooth endoplasmic reticulum
  3. Excess iron accumulation within mitochondria and lysosomes
  4. Coagulative necrosis with hepatocyte dropout and lobular collapse
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Correct answer: HBsAg accumulation within the smooth endoplasmic reticulum

Ground-glass hepatocytes have a fine, granular, eosinophilic cytoplasm. This is due to the massive overproduction and accumulation of HBsAg spheres and tubules within the smooth endoplasmic reticulum.

Difficulty: Medium Question 5 of 20

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