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case_images: Peritoneoscopy revealed the hepatic surface of increased vascular and lymphatic markings, the tigroid pattern.
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case_images: Seoul National University Hospital and workup included serologic markers for Hepatitis B, which were negative, gastrofiberscopy, peritoneoscopy (Fig. 1), liver biopsy (Fig. 2), and antimitochondrial antibody (1:1280 positive) to be diagnosed as primary biliary cirrhosis. She was treated with D-penicillamine at the dose of 750 mg per day.
case_images: Muscle biopsy revealed multitocal degeneraling and regenerating myofibers with infiltration of inflammatory cells.
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case_images: The muscle biopsy revealed multifocal degenerating and regenerating myofibers with infiltration of inflammatory cells (Fig. 3).