Evidence map›Paper›PMID 34912834›Full record

ArticleFrontiers in medicine2021

Case Report: Syphilitic Hepatitis-A Rare and Underrecognized Etiology of Liver Disease With Potential for Misdiagnosis.

Hiba A Al Dallal, Siddharth Narayanan, Hanah F Alley, Michael J Eiswerth, Forest W Arnold, Brock A Martin, Alaleh E Shandiz

Abstract readCase Reports
In one paragraph

Article in Frontiers in medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Multiple liver metastases of unknown origin: A case report.World journal of gastrointestinal oncology · 2025
    Article
  3. Syphilitic hepatitis.Clinical and experimental hepatology · 2024
    Review
  4. Intrahepatic cholestasis due to Treponema pallidum in an immunocompetent patientBiomedica : revista del Instituto Nacional de Salud · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hiba A Al DallalDepartment of Pathology and Laboratory Medicine, University of Louisville, Louisville, KY, United States.
Siddharth NarayananDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, OH, United States.
Hanah F AlleyDepartment of Neurology, University of Louisville, Louisville, KY, United States.
Michael J EiswerthDepartment of Internal Medicine, University of Louisville, Louisville, KY, United States.
Forest W ArnoldDivision of Infectious Diseases, University of Louisville, Louisville, KY, United States.
Brock A MartinDepartment of Pathology and Laboratory Medicine, University of Louisville, Louisville, KY, United States.
Alaleh E ShandizDepartment of Pathology and Laboratory Medicine, University of Louisville, Louisville, KY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Syphilitic hepatitis (SH) in adults is a rare condition that can be easily misdiagnosed. Clinical and histopathologic manifestations of SH can mimic other infectious and non-infectious conditions, and the diagnosis should be considered in all at-risk patients with abnormal liver function tests. We present an unusual case of SH presenting with seizures and multiple liver lesions. This case report, in line with other newly published reports, promotes awareness of SH as a rare manifestation of treponemal infection and highlights the importance of including SH in the differential diagnosis for patients at risk for sexually transmitted infections and presenting with liver enzyme abnormalities. From a hospital quality control and socioeconomic perspective, our case adds to the growing body of evidence that demonstrates an increasing incidence of patients suffering from venereal diseases and injection drug use disorders, and the burden these conditions place on the healthcare system. Recognition of the clinicopathologic features of SH is required to prevent missed diagnosis and to foster systematic crosstalk between healthcare staff and public health personnel managing this problem.

Indexed as

drug abusehepatitisinfectionliver enzymesseizuresyphilis

Identifiers

PMID34912834
PMCPMC8666961

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.