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Updated: May 29, 2026

A Standardized Method for the Analysis of Liver Sinusoidal Endothelial Cells and Their Fenestrations by Scanning Electron Microscopy
Published on: April 30, 2015
Takayasu arteritis associated with hepatic sinusoidal dilatation
Cécile Durant1, Jérome Martin, Baptiste Hervier
1Internal Medicine, CHU Nantes Hotel Dieu, Nantes, France. cecile.durant@sls.ahph.fr
Insights
Idiopathic hepatic sinusoidal dilatation (HSD) was linked to Takayasu arteritis (TA) in two early-stage cases. Treating TA improved HSD, suggesting a shared cause for these vascular conditions.
Area of Science:
- Vascular pathology
- Autoimmune diseases
- Hepatology
Background:
- Hepatic sinusoidal dilatation (HSD) presents as peliosis hepatis-like lesions with blood-filled cavities.
- HSD and systemic vasculitis, including Takayasu arteritis (TA), have not been previously associated.
- Early diagnosis of vascular conditions is crucial for effective management.
Abstract:
Hepatic sinusoidal dilatation (HSD) is pathological entity that is characterized by peliosis hepatis (PH) like lesions, with vascular lesions that consist of multiple cyst-like, blood-filled cavities within the liver. To the best of our knowledge, neither PH nor HSD have been associated with systemic vasculitis. We describe herein two cases of idiopathic HSD associated with Takayasu arteritis (TA), diagnosed at an early stage of vasculitis. The same endothelial target in HSD and TA, and the favorable outcome of HSD with treatment of TA, suggest a pathogenic link between the two diseases.
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