原发性胆汁性胆管炎与二期梅毒并存时的诊断挑战：一例报告
Diagnostic Challenges in Concurrent Primary Biliary Cholangitis and Secondary Syphilis: A Case Report.
作者信息
Haddadin Rakahn, Aboujamra Danny, Javadi Emon, Iqbal Humzah, Shah Pinak, Iraninezhad Homayon
机构信息
Department of Internal Medicine, HCA Healthcare, MountainView Hospital, 2880 N Tenaya Way, Las Vegas, NV 89128, USA.
Department of Internal Medicine, Medical University of South Carolina (MUSC) Health Florence, Affiliation with HCA Healthcare, 805 Pamplico Hwy, Florence, SC 29505, USA.
出版信息
J Community Hosp Intern Med Perspect. 2025 Jul 3;15(4):43-45. doi: 10.55729/2000-9666.1500. eCollection 2025.
We present a rare case of a patient diagnosed with both primary biliary cholangitis (PBC) and secondary syphilis during hospitalization. While the coexistence of these two conditions is uncommon, distinguishing between syphilitic hepatitis and autoimmune liver disease is critical. This case highlights the importance of thorough history-taking, a comprehensive workup for cholestatic liver disease, and the potential diagnostic overlap between infectious and autoimmune processes.
我们报告了一例罕见病例，一名患者在住院期间被诊断为原发性胆汁性胆管炎（PBC）和二期梅毒。虽然这两种疾病同时存在并不常见，但区分梅毒性肝炎和自身免疫性肝病至关重要。该病例凸显了详细病史采集、针对胆汁淤积性肝病的全面检查以及感染性和自身免疫性疾病过程中潜在诊断重叠的重要性。
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