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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

MEZZANO, Gabriel et al. Syphilitic hepatitis. Report of three cases. Rev. méd. Chile [online]. 2019, vol.147, n.2, pp.251-255. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872019000200251.

Liver involvement occurs in 0.2 to 3% of patients with syphilis. We report three patients with liver involvement in syphilis. A 52-year-old male presenting with erythema and malaise. Laboratory showed a gamma glutamyl transpeptidase (GGT) of 853 u/l, alkaline phosphatases of 1,010 U/L and VDRL was positive. Treatment with penicillin resolved the skin problem and normalized liver enzymes. A HIV positive 30-year-old male in peritoneal dialysis presenting with itching, malaise and markedly elevated GGT and alkaline phosphatases. VDRL was positive. He was treated with penicillin with remission of symptoms and enzyme normalization. A 43-year-old male presenting with erythema, malaise, arthralgias and elevated GGT and alkaline phosphatases. VDRL was positive and treatment with penicillin reverted symptoms and laboratory abnormalities.

Palabras clave : Hepatitis; Sexually Transmitted Diseases; Syphilis.

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