DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 33

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PANAHI M.

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Journal Paper

Paper Information

Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES Year:2004 | Volume:47 | Issue:84 Page(s): 231-231

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Title

DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 33

Author(s)

PANAHI M. | Issue Writer Certificate

Keywords

SYPHILITIC HEPATITISQ4

R.P.R CHOLESTASISQ4

ANAL INTERCOURSEQ4

ALPQ4

PALMER ERYTHEMAQ4

Abstract

A ccording to the patient, there had been a sexual encounter 3 months ago and inguinal regions contained numerous enlarged lymphnodes in both sides. But there was no chancre although palmar erythema were seen bilaterally and serum ALP level was high and viral hepatitis markers were all negative. On further examination for hepatitis, R.P.R titer was requested and it was 1/512 and FTA-abs was positive too. Anti HIV 1,2 assay was negative. SYPHILITIC HEPATITIS is a safe disease but in a young sexually active man especially if he engage in ANAL INTERCOURSE with high serum ALP (2.5 times) level with negative viral hepatitidis markers, you should think about SYPHILITIC HEPATITIS. Liver needle biopsy was done, you sometimes can find T.pallidum in the liver biopsy specimen, but in this patient pathologist was unable to find T. pallidum and just infiltration of inflammatory cells and patchy necrosis without cholestasis was reported by pathologist.Anal intercourse is a risk factor for SYPHILITIC HEPATITIS but the patient denied any ANAL INTERCOURSE. Antibiotic therapy rapidly improved the condition with reducing serum R.P.R titer.

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APA: Copy

PANAHI, M.. (2004). DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 33. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 47(84), 231-231. SID. https://sid.ir/paper/51980/en

Vancouver: Copy

PANAHI M.. DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 33. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2004;47(84):231-231. Available from: https://sid.ir/paper/51980/en

IEEE: Copy

M. PANAHI, “DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 33,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 47, no. 84, pp. 231–231, 2004, [Online]. Available: https://sid.ir/paper/51980/en

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