Electron microscopic studies of the liver biopsy specimens from two pa
tients with chronic type C hepatitis revealed cytomembranous structure
s. Cylindrical confronting cisternae were identified for the first tim
e in the cytoplasm of macrophages in the specimen which was taken duri
ng alpha-interferon therapy. Tubuloreticular inclusions were observed
in both patients with and without therapy, Although the cytomembranous
inclusions are not specific for hepatitis C patients, cylindrical con
fronting cisternae may be a host response to both large doses of cu-in
terferon and HCV infection.