Clinical Manifestations of Ocular Syphilis Combined with Neurosyphilis
Journal of the Korean Ophthalmological Society
;
: 602-607, 2014.
Artículo
en Coreano
| WPRIM
| ID: wpr-114101
ABSTRACT
PURPOSE:
To report the manifestation of ocular syphilis combined with neurosyphilis in patients who present with uveitis clinically and are diagnosed initially by an ophthalmologist.METHODS:
This study is a retrospective, clinical investigation of seven male patients with ocular syphilis from a single tertiary center between 2009 and 2012.RESULTS:
The average age of the patients at onset was 44.4 years (range, 33-71 years). Posterior segment involvement was found in all patients. Two patients had papillitis. In serologic testing, all patients had positive responses to Venereal Disease Research Laboratory (VDRL), fluorescent treponemal antibody-absorption test (FTA-ABS) and Treponema pallidum hemagglutination (TPHA). In fluorescein angiography (FAG), retinal vascular and disc leakage was the most common finding. Cerebrospinal fluid (CSF) analysis was performed for six patients and demonstrated positive CSF FTA-ABS and CSF TPHA tests in all patients. CSF VDRL was reactive in 2 patients (33.3%).CONCLUSIONS:
All patients with ocular syphilis were diagnosed with neurosyphilis based on the analysis of CSF with FTA-ABS and TPHA. Ophthalmologists play an important role in the early diagnosis and treatment of syphilis.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Retinaldehído
/
Treponema pallidum
/
Uveítis
/
Pruebas Serológicas
/
Angiografía con Fluoresceína
/
Sífilis
/
Enfermedades de Transmisión Sexual
/
Líquido Cefalorraquídeo
/
Papiledema
/
Estudios Retrospectivos
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio de tamizaje
Límite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Año:
2014
Tipo del documento:
Artículo
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