Petersen L R, Mead R H, Perlroth M G
Am J Med. 1983 Jul;75(1):166-70. doi: 10.1016/0002-9343(83)91183-x.
A 48-year-old actively homosexual man who had undergone liver transplantation for cirrhosis secondary to hepatitis B infection six years previously presented with a syndrome of diffuse pain, cholestasis, and low-grade fever. The development of thrombocytopenia and persistent hypoprothrombinemia precluded liver biopsy. Subsequently, a skin eruption and VDRL result of 1:128 indicated that most of the findings could be explained by a diagnosis of secondary syphilis with luetic hepatitis and periostitis. This impression was confirmed by a complete response to penicillin therapy. The relation of thrombocytopenia to lues in this case remains uncertain.
一名48岁的活跃同性恋男子，六年前因乙型肝炎感染继发肝硬化接受了肝移植，现出现弥漫性疼痛、胆汁淤积和低热综合征。血小板减少和持续性凝血酶原血症的出现使肝活检无法进行。随后，皮肤疹和梅毒血清试验结果为1:128，表明大多数 findings 可通过二期梅毒伴梅毒性肝炎和骨膜炎的诊断来解释。青霉素治疗的完全缓解证实了这一印象。本例中血小板减少与梅毒的关系仍不确定。
