Hepatitis granulomatosa idiopática con orquiepididimitis bilateral y erupción cutánea

• Marta Rodríguez G ^[1] ; Juan Bautista Montagud M ^[1] ; Jacqueline Robert G ^[1] ; María-José Mayol ^[2] ; Jaime Merino ^[1]
  1. [1] Hospital Universitario de San Juan Servicio de Medicina Interna
  2. [2] Hospital Universitario de San Juan Servicio de Anatomía Patológica
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 130, Nº. 11, 2002
• Idioma: español
• Títulos paralelos:
  • Report of one case
  • Idiopathic granulomatous hepatitis
• Enlaces
  • Texto completo
• Resumen

  • 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 (Rev Méd Chile 2002; 130: 1273-6).