[Idiopathic granulomatous hepatitis with bilateral orchiepididymitis and skin eruption].
We report a 52 years old male admitted for fever lasting one month, dry cough, headache and malaise. Initial laboratory work up showed an AST of 172 U/l, and ALT of 252 U/l, a GGT of 353 U/l and alkaline phosphatases of 952 U/l. An abdominal CAT scan disclosed a mild hepatosplenomegaly. A liver biopsy showed a granulomatous hepatitis. During the evolution, the patient had a left testicle swelling with darkening of the surrounding skin. A testicular ultrasound showed a bilateral orchiepidydimitis. The patient was treated with non steroidal anti-inflammatory drugs and fever subsided. Three months later, these drugs were discontinued and the patient remained asymptomatic and with normal laboratory values until 36 months of follow up.
Rodríguez
Marta
M
Servicio de Medicina Interna, Hospital Universitario San Juan de Alicante,  Ctra. Alicante-Valencia s/n, Alicante, España. martacarolo@hotmail.com
Montagud
Juan Bautista
JB
Robert
Jacqueline
J
Mayol
María-José
MJ
Merino
Jaime
J
D003872:Dermatitis / Q000188:drug therapy / Q000209:etiology*; D004823:Epididymitis / Q000188:drug therapy / Q000209:etiology*; D005335:Fever of Unknown Origin / Q000209:etiology; D006099:Granuloma / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006505:Hepatitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009920:Orchitis / Q000188:drug therapy / Q000209:etiology*