[Polyarthritis and hepatitis as presentation forms of secondary syphilis]

We present a luetic secondarism in a 40-year-old woman starting as symmetric polyarthritis and hepatitis. The latter presence of cutaneous rash, oral aphtae and anemia, as well as the positivity of anticore antibodies (1/160 core pattern) and anti-cardiolipin antibodies initially suggested a connectivopathy. The diagnosis of secondary syphilis was confirmed by the luetic seropositive results (RPR and FTAabs) and the microscopic observation of mobile microorganisms compatible with Treponemas in the exudate obtained by scraping of the cutaneous lesions. The proteiform expressivity of luetic secondarism is stressed, as well as its rare presentation with articular inflammatory manifestations.