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KMID : 0191120100250111661
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Journal of Korean Medical Science
2010 Volume.25 No. 11 p.1661 ~ p.1664
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Cholestatic Hepatitis and Thrombocytosis in a Secondary Syphilis Patient
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Kim Gi-Hyun
Kim Byeong-Uk
Lee Ju-Hee
Choi Yong-Heok
Chae Hee-Bok
Park Seon-Mee
Youn Sei-Jin
Lee Ji-Yeoun
Yoon Tae-Young
Sung Ro-Hyun
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Abstract
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The incidence of acute hepatitis in syphilis patient is rare. First of all, our patient presented with hepatitis comorbid with thrombocytosis. To our knowledge, this is only the second report of syphilitic hepatitis with thrombocytosis. The 42-yr-old male complained of flulike symptoms and skin eruptions on his palms and soles. Laboratory findings suggested an acute hepatitis and thrombocytosis. Serologic test results were positive for VDRL. He recovered from his symptoms and elevated liver related enzymes with treatment. Because syphilitic hepatitis can present without any typical signs of accompanying syphilis, syphilis should be considered as a possible cause in acute hepatitis patients.
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KEYWORD
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Hepatitis, Syphilis, Cutaneous, Thrombocytosis
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