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Analysis of histological specimens disclosed that 13 patients (45%) had porto-sinusoidal vascular liver disease (PSVD) typically associated with nodular regenerative hyperplasia, defined by abnormal hepatocyte plates, nodular transformation, and markedly dilated portal and centro-lobular veins [27]
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What was found: most had myeloneuropathy, meaning both the spinal cord and the peripheral nerves were affected, and serum B12 was normal in most of them, with raised homocysteine and methylmalonic acid confirming a functional deficiency
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