Human immunodeficiency virus感染を合併した梅毒性ぶどう膜炎の1例

Syphilitic uveitis in a case of human immunodeficiency viral infection

　梅毒性ぶどう膜炎の発症がきっかけとなり，human immunodeficiency irus （HIV）感染が判明した1例を報告した。症例は57歳男性で，2か月前から続く右眼飛蚊症および視力低下を主訴に受診し，右眼硝子体に索状混濁を，眼底に網膜静脈周囲炎をみた。血液検査にて梅毒反応強陽性で肛門周囲には扁平コンジローマがみられ，患者に同意を得て行ったHIV検査は陽性であった。駆梅療法で約4か月でぶどう膜炎は消退した。梅毒性ぶどう膜炎をみた場合には，HIV検査も必要と思われた。

A 57-year-old male presented with ocular floaters and impaired visual acuity in his right eye since 2 months before. The right eye showed string-like vitreous opacities and retinal periphlebitis. Serum tests were positive for syphilis. He also showed a flat condyloma around the anus. He was positive for antibody to human immunodeficiency virus (HIV) . Systemic antisyphilitic therapy induced improvements in uveitis with recovery of vision form 0.6 to 1.0. This case illustrates that HIV infection may be associated with syphilitic uveitis.