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Syphilitic Hepatitis: a Rare Complication of Secondary Syphilis. A Case Report

dc.contributor.authorCaldeira, M
dc.contributor.authorJoão, AL
dc.contributor.authorPestana, M
dc.contributor.authorCanha, I
dc.contributor.authorSimões, G
dc.contributor.authorFernandes, C
dc.date.accessioned2023-02-13T15:50:14Z
dc.date.available2023-02-13T15:50:14Z
dc.date.issued2022
dc.description.abstractSyphilis is a sexually transmitted disease caused by Treponema pallidum, progressing through active and latent stages if left untreated. Hepatic involvement can occur in secondary syphilis, but this is an uncommon complication, with few published case reports. A 34-year-old man without significant medical history was admitted to the gastroenterology department with a 2-week history of unexplained jaundice and acute cholestatic hepatitis. He also presented with erythematous papules and plaques in the genital area, suggestive of secondary syphilis. T. pallidum hemaglutination assay and venereal disease research laboratory test were both positive, the latter with a 1:16 titer. The diagnosis of secondary syphilis with hepatic involvement was considered. The improvement of cutaneous and laboratory findings after intramuscular benzathine penicillin injection supported this hypothesis. Symptomatic cholestatic hepatitis is a rare feature of the systemic spectrum of secondary syphilis. The clinical and laboratorial response after penicillin treatment is a strong clue for this diagnosis.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPort J Dermatol and Venereol. 2022;80(3):213-216pt_PT
dc.identifier.doi10.24875/PJDV.M22000032pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4406
dc.language.isoengpt_PT
dc.publisherSociedade Portuguesa de Dermatologia e Venereologiapt_PT
dc.subjectHSAC DERpt_PT
dc.subjectSyphilispt_PT
dc.subjectHepatitispt_PT
dc.titleSyphilitic Hepatitis: a Rare Complication of Secondary Syphilis. A Case Reportpt_PT
dc.title.alternativeHepatite Sifilítica: uma Complicação Rara da Sífilis Secundária. O Reporte de um Casopt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage216pt_PT
oaire.citation.startPage213pt_PT
oaire.citation.titlePortuguese Journal of Dermatology and Venereologypt_PT
oaire.citation.volume80pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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