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Table 3 Ludwig system for grading hepatic inflammation and fibrosis [27]

From: Gallic acid and metformin co-administration reduce oxidative stress, apoptosis and inflammation via Fas/caspase-3 and NF-κB signaling pathways in thioacetamide-induced acute hepatic encephalopathy in rats

Lobular inflammation and necrosis

Portal inflammation and necrosis

fibrosis

Activity description

Score

None

None

None

No activity

0

spotty

Patchy

Portal fibrosis

Minimal

1

little hepatocellular damage

little portal tract damage

Periportal fibrosis

mild

2

noticeable hepatocellular change

noticeable change in all portal tract

Septal fibrosis

Moderate

3

diffuse hepatocellular damage

Bridging necrosis

Cirrhosis

Sever

4