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Title: Tertiary syphilis presenting as hepatic bull's eye lesions
Authors: Peeters, Leo ×
Van Vaerenbergh, W
Van der Perre, C
Lagrange, W
Verbeke, M #
Issue Date: Oct-2005
Publisher: Acta medical belgica
Series Title: Acta Gastro-Enterologica Belgica vol:68 issue:4 pages:435-439
Abstract: We report a rare case of tertiary syphilis (hepatic gummata, asymptomatic neurosyphilis and iridocyclitis) in a 47 year old female patient. Our patient suffered from a troubled sight, pain in the right hypochondrium, one enlarged submandibular lymph node, an elevated sedimentation rate, disturbed liver tests and two hepatic lesions upon abdominal computed tomography. The diagnosis was based upon a liver biopsy and a positive Treponema Pallidum haemagglutination test. The patient was treated with doxycyclin. After treatment the sedimentation rate and liver tests normalised and the hepatic lesions disappeared leaving a small 'scar' on CT-scan; at the end she still complained of a decreased sight. We conclude that syphilitic gummata of the liver have a favourable prognosis when the diagnosis is made early. One has to differentiate with hepatic abscesses, primary tumours and metastases.
URI: 
ISSN: 0001-5644
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Laboratory for Clinical Infectious and Inflammatory Disorders
× corresponding author
# (joint) last author

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