PMC6927064_01
Palmar rash.
CRIM2019-1012405.001.jpg
PMC6927064_01_CRIM2019-1012405.001.jpg
fig1
His skin had a nontender maculopapular rash, most notable on the palms, thighs, chest, and scalp (Figures 1 and 2).
Trunk and abdominal rash.
CRIM2019-1012405.002.jpg
PMC6927064_01_CRIM2019-1012405.002.jpg
fig2
His skin had a nontender maculopapular rash, most notable on the palms, thighs, chest, and scalp (Figures 1 and 2).
Immunohistochemistry for syphilis highlighting the organisms in sinusoidal, hepatocyte, and biliary epithelial cells.
CRIM2019-1012405.003.jpg
PMC6927064_01_CRIM2019-1012405.003.jpg
fig3
Diagnosis of syphilitic hepatitis was confirmed by immunostain showing numerous treponemal spirochetes (Figures 3 and 4).
Treponemal immunostain of the large septal bile duct.
CRIM2019-1012405.004.jpg
PMC6927064_01_CRIM2019-1012405.004.jpg
fig4
Diagnosis of syphilitic hepatitis was confirmed by immunostain showing numerous treponemal spirochetes (Figures 3 and 4).