Liver Cholestasis Secondary to Syphilis in an Immunocompetent Patient

الملخص EN

Liver involvement is a known feature of secondary syphilis.

The prevalence of hepatitis in secondary syphilis ranges broadly from 1 to 50%.

We report a case of a 37-year-old man with type 1 diabetes mellitus and sickle cell trait presenting with jaundice and acute liver cholestasis.

Abdominal ultrasound revealed mild hepatic fatty infiltration.

RPR and Treponema pallidum IgG results were positive with a reflex titer of 1:64.

Liver biopsy revealed chronic hepatitis with normal hepatic architecture, Kupffer cell hyperplasia, hepatic cholestasis, and ductal proliferation suggestive of syphilitic hepatitis.