title: [Circulating anticoagulant and focal liver lesions associated to rich clinical expression in the secondary syphilis].
abstract: A 37-year-old male was admitted at our hospital for evaluation of clinical presentation of 8 weeks evolution of malaise, fever, sore throat and nose, arthralgias, holocraneal headache, photophobia and nausea. With the shower he noticed spots in palms of hands and plants of feet. A year before had noticed painless erosions in foreskin. He had risk factors for sexual transmission diseases. The analytical showed criteria of dissociated colestasis, nephrotic syndrome, presence of circulating anticoagulant, and positivity for the reaginic and specific serological syphilis. In an abdominal ultrasonic multiple, focal and small liver lesions were watched. With two weeks of treatment with penicillin the clinical manifestations reverted, and the analytical and of image was watched bettering, which dissapeared at the three months of treatment. We comment the rich clinical expression and the peculiarities of presenting focal liver lesions and circulating anticoagulant, in a case of secondary syphilis.
authors.affiliation: Servicio de Medicina Interna, Hematología. Hospital General de Gran Canaria Dr. Negrín. Las Palmas de Gran Canaria. drsuarez@hotmail.com
authors.forename: S Suárez
authors.initials: SS
authors.lastname: Ortega
authors.forename: J López
authors.initials: JL
authors.lastname: Brito
authors.forename: H Mendoza
authors.initials: HM
authors.lastname: Lémes
authors.forename: C R Hernández
authors.initials: CR
authors.lastname: Socorro
authors.forename: E Melado
authors.initials: EM
authors.lastname: Sánchez
authors.forename: J Delgardo
authors.initials: JD
authors.lastname: Martínez
mesh_terms: D000328:Adult; D001777:Blood Coagulation; D006801:Humans; D007136:Immunoglobulins / Q000097:blood*; D008107:Liver Diseases / Q000097:blood* / Q000382:microbiology*; D008297:Male; D013587:Syphilis / Q000097:blood*
chemical_list: D007136:Immunoglobulins; C019158:circulating anticoagulants