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A Surprising Diagnosis: Syphilitic Gastritis and Hepatitis

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Presentation on theme: "A Surprising Diagnosis: Syphilitic Gastritis and Hepatitis"— Presentation transcript:

1 A Surprising Diagnosis: Syphilitic Gastritis and Hepatitis
Christian L. Horn, MD, Seyed Jalali, MD, Joel Abbott, DO, Michael T. Stein, MD  The American Journal of Medicine  Volume 131, Issue 10, Pages (October 2018) DOI: /j.amjmed Copyright © Terms and Conditions

2 Figure 1 (A) Esophagogastroduodenoscopy demonstrated multiple ulcers in the prepyloric area of the patient's stomach. (B) This is a close-up of a prepyloric ulcer. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions

3 Figure 2 (A) Esophagogastroduodenoscopy revealed multiple serpiginous ulcers in the patient's duodenum. (B) The ulcers extended over a large area. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions

4 Figure 3 (A) Immunohistochemical staining specific for Treponema pallidum identified numerous spirochetes in the gastric mucosa. They can be seen in this medium-power magnification of a gastric biopsy specimen. (B) This high-power magnification of the biopsy sample offers a closer look at the T. pallidum spirochetes. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions

5 Figure 4 (A) Multiple prepyloric ulcers had resolved when this esophagogastroduodenoscopy image was obtained 2 months after treatment. (B) At the same time, esophagogastroduodenoscopy demonstrated only a single small healing duodenal ulcer. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © Terms and Conditions


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