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A case of stage 2 syphilis with optic neuroretinitis as the initial manifestation Kon-ichi Arai 1 , Masahiro Taki 1 , Hiroko Inaba 2 1Dept of Ophthalmol,Tokoname Munic Hosp 2Dept of Dermatol,Tokoname Munic Hosp pp.197-201
Published Date 2007/2/15
DOI https://doi.org/10.11477/mf.1410101533
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Abstract. Purpose:To report a case of optic neuroretinitis diagnosed as stage 2 syphilis. Case and Findings:A 56-year-old male presented with blurring and central scotoma in his left eye since 10 days before. He had been diagnosed with diabetes mellitus and systemic hypertension. His corrected visual acuity was 1.2 right and 0.5 left. The left fundus showed swelling of optic disc and retinal edema extending to the macula. Fluorescein angiography showed extravasation from retinal veins. Central scotoma was also present. The right eye showed normal findings. Result:Numerous rose spots were present in the upper extremities and trunk. Positive serological findings led to the diagnosis as stage 2 syphilis. Peroal amoxicillin was followed by improved fundus,visual acuity and serological findings. Conclusion:Although the incidence has sharply declined,there is still a possibility that syphilis manifests as optic neuritis or uveitis.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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