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J Clin Pathol 62:481-492 doi:10.1136/jcp.2008.058248
  • Review

Histological patterns in drug-induced liver disease

Table 4 Roenigk classification system51
Roenigk grade Fatty change Nuclear pleomorphism Necroinflammatory damage Fibrosis
I Mild or none Mild or none Mild or none None
II Moderate or severe Moderate or severe Moderate or severe portal inflammation None
IIIa With or without With or without With or without Mild
IIIb With or without With or without With or without Moderate or severe
IV With or without With or without With or without Cirrhosis
  • A score of IIIb or IV is an indication to discontinue the drug. Early detection and discontinuation of the drug is associated with a favourable outcome.

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