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  • Title: [Idiopathic granulomatous hepatitis with bilateral orchiepididymitis and skin eruption].
    Author: Rodríguez M, Montagud JB, Robert J, Mayol MJ, Merino J.
    Journal: Rev Med Chil; 2002 Nov; 130(11):1273-6. PubMed ID: 12587510.
    Abstract:
    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.
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