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Picture Quiz: A Case of Acute Hepatitis – Answers

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Outcome

His syphilis serology was positive
– Initial IgG ELISA test positive
– TPHA positive
– IgM positive and RPR (128) positive confirm recent infection

All other screening tests (including viral hepatitis and HIV test) were unremarkable, hence a diagnosis of secondary syphilis causing hepatitis was made. Further examination revealed a healing chancre on the shaft of his penis and pustules around the anu.

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