Idiopathic granulomatous hepatitis with bilateral orchiepididymitis and skin eruption
RodrÃguez, M.; Montagud, J.B.; Robert, J.; Mayol, M.Ãa.-J.é; Merino, J.
Revista Medica de Chile 130(11): 1273-1276
2002
ISSN/ISBN: 0034-9887 PMID: 12587510 Document Number: 548656
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.