A case of a patient with rheumatoid arthritis (RA) of long evolution associated to dry syndrome, who developed a dissociated cholestasis after parenteral administration of gold salts, is suppression of gold salts. We comment on the clinical, biochemical, and histological features of intrahepatic cholestasis related to gold salts, as well as the evolution and the necessary criteria in order to make the diagnosis. We highlight the normal level of bilirubin, comparing it to that described in the literature.