Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Case Report

Volume 8, Number 7, July 2016, pages 550-554

Secondary Syphilis With Hepatitis and Nephrotic Syndrome: A Rare Concurrence

Figures

Figure 1.
Figure 1. (a) Hands showing maculo-papular rash. (b) Feet showing maculo-papular rash.
Figure 2.
Figure 2. (a) Liver biopsy showing mild portal inflammation (low magnification hematoxylin and eosin stain). (b) Liver biopsy showing numerous polymorphs around bile-ductules (high magnification hematoxylin and eosin stain).

Table

Table 1. Laboratory Parameters
 
ParameterValue
Hemoglobin12.7 g/dL
Hematocrit40.8%
White count9,400/μL
Platelet257,000/μL
Sodium125 mEq/L
Potassium4.20 mEq/L
Chloride94 mEq/L
Bicarbonate21 mEq/L
Glucose280 mg/dL
BUN19 mg/dL
Creatinine0.7 mg/dL
Cholesterol263 mg/dL
LDL205 mg/dL
HDL12 mg/dL
Triglyceride231 mg/dL
INR1.0
S. protein7.5 g/dL
S. albumin3.7 g/dL
AST50 Unit/L
ALT91 Unit/L
Alkaline phosphatase274 Unit/L
Bilirubin (total)0.3 mg/dL
Bilirubin (direct)0.1 mg/dL
Lipase43 Unit/L
Amylase31 Unit/L
RPR titer1:1,024