ABSTRACT
Liver involvement occurs in 0.2 to 3% of patients with syphilis. We report three patients with liver involvement in syphilis. A 52-year-old male presenting with erythema and malaise. Laboratory showed a gamma glutamyl transpeptidase (GGT) of 853 u/l, alkaline phosphatases of 1,010 U/L and VDRL was positive. Treatment with penicillin resolved the skin problem and normalized liver enzymes. A HIV positive 30-year-old male in peritoneal dialysis presenting with itching, malaise and markedly elevated GGT and alkaline phosphatases. VDRL was positive. He was treated with penicillin with remission of symptoms and enzyme normalization. A 43-year-old male presenting with erythema, malaise, arthralgias and elevated GGT and alkaline phosphatases. VDRL was positive and treatment with penicillin reverted symptoms and laboratory abnormalities.
Subject(s)
Humans , Male , Adult , Middle Aged , Syphilis/diagnosis , Hepatitis/diagnosis , Syphilis Serodiagnosis , Cholestasis/diagnosis , Diagnosis, Differential , Alkaline Phosphatase/blood , gamma-Glutamyltransferase/bloodABSTRACT
Se presentan los resultados obtenidos en 7 pacientes con Psoriasis en placas, algunas localizadas y otras generalizadas, recalcitrantes a diversos medicamentos, en los cuales se instaura tratamiento a base de sesiones de Ultrasonido de 10 minutos de duración, 2 a 3 veces por semana, aplicado directamente sobre las lesiones, previo uso de una mezcla de Pivalato de Flumetasona, Brea de Hulla y Acido Salicílico (Pomada), la noche anterior; observándose una remisión significativa del cuadro clínico, en contraposición con lesiones tratadas solamente con el medicamento. Se presenta esta modalidad terapéutica, como una posible alternativa para esta patología de tan difícil y variable tratamiento