{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T14:40:50Z","timestamp":1786545650715,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T00:00:00Z","timestamp":1558915200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACG Case Rep J","ACG Case Reports Journal"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Syphilis has been called \u201cthe great mimicker\u201d given its ability to affect a wide variety of organs and subsequently present with a vast array of symptoms. The variability in clinical presentation seen in syphilis can make the diagnosis challenging. We describe a unique presentation of syphilis manifesting as hepatitis and gastroparesis. To our knowledge, this is the first case report with simultaneous hepatic and gastric involvement.<\/jats:p>","DOI":"10.14309\/crj.0000000000000067","type":"journal-article","created":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T05:02:08Z","timestamp":1558933328000},"page":"e00067","source":"Crossref","is-referenced-by-count":4,"title":["Syphilis, The Great Mimicker, Presents As a Rare Case of Concurrent Hepatitis and Gastroparesis"],"prefix":"10.14309","volume":"6","author":[{"given":"Brianna","family":"Shinn","sequence":"first","affiliation":[{"name":"Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Kistler","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja Koteswar","family":"Dhanekula","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Civan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,5,27]]},"reference":[{"key":"R1-20231027","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1258\/ijsa.2007.007037","article-title":"Early syphilitic hepatitis in an immunocompetent patient: Really so uncommon?","volume":"19","author":"Noto","year":"2008","journal-title":"Int J STD 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