Dawson Rachel, Zhang Davena, Salahi Navid, Kashani Daniel
Medical School, St. George's University, Saint George, GRD.
Internal Medicine, State University of New York Downstate Medical Center, New York, USA.
Cureus. 2022 Mar 3;14(3):e22802. doi: 10.7759/cureus.22802. eCollection 2022 Mar.
Secondary syphilis has variable systemic manifestations, impersonating the presentation of more common pathologies, deceiving clinicians, and creating a difficult-to-diagnose patient. The case discussed combines hepatic syphilis with an uncommon syphilitic dermatologic presentation in a patient with HIV and a history of hepatitis A and B. Due to the challenge of diagnosis, the relative ease of confirming the diagnosis with serological assays, and reversibility of hepatic injury, the inclusion of syphilitic hepatitis on a differential diagnosis of hepatitis is warranted.
二期梅毒有多种全身表现，类似更常见疾病的症状，易误导临床医生，使患者诊断困难。本文讨论的病例为一名感染HIV且有甲型和乙型肝炎病史的患者，合并肝梅毒及一种不常见的梅毒皮肤表现。鉴于诊断存在挑战、血清学检测相对容易确诊以及肝损伤具有可逆性，因此在肝炎的鉴别诊断中应考虑梅毒肝炎。
