Jeanmougin M, Dive F, Civatte J
Sem Hop. 1982 Jan 28;58(4):199-203.
Biologic hepatitis is common in secondary syphilis. Six cases are reported, in which stereotyped biologic changes were found. These consisted of very high alkaline phosphatase levels and gamma GT levels, with definite inflammation. Cytolysis was moderate or absent. Diagnosis can be established when these biologic anomalies are associated with strongly positive serologic tests for syphilis and rapid recovery under adequate treatment. In these cases, hepatic biopsy is unnecessary.
生物性肝炎在二期梅毒中很常见。本文报告了6例，其中发现了典型的生物学变化。这些变化包括碱性磷酸酶水平和γ-谷氨酰转肽酶水平非常高，伴有明确的炎症。细胞溶解程度为中度或无。当这些生物学异常与梅毒血清学检测呈强阳性以及在适当治疗下迅速恢复相关时，即可确诊。在这些病例中，肝活检是不必要的。
