Superficial retinal precipitates in patients with syphilitic retinitis.

作者: Evelyn X fu , Ryan L Geraets , Emilio M Dodds , Laura V Echandi , Daniel Colombero

DOI: 10.1097/IAE.0B013E3181CDF3AE

关键词:

摘要: PURPOSE The purpose of this study was to describe the occurrence superficial retinal precipitates in patients with syphilitic retinitis. METHODS This a retrospective, observational case series nine eyes eight retinitis associated precipitates. clinical, photographic, angiographic, and laboratory records were reviewed. Characteristics treatment response these observed. RESULTS All Caucasian men, including 5 men who have sex (62.5%) 6 (75.0%) positive for human immunodeficiency virus. None previously diagnosed syphilis. developed panuveitis distinctly diaphanous or ground-glass creamy yellow In 3 (37.5%), had distinctive wedge-shaped appearance. Five vasculitis, (37.5%) serous detachment, 2 (22.2%) intraretinal hemorrhage, papillitis. Within weeks initiating intravenous penicillin treatment, 7 (87.5%) experienced visual recovery >or= 20/40. affected showed rapid resolution clinical signs minimal alternations pigment epithelium areas prior after completion antibiotic therapy. CONCLUSION Characteristic may occur over Improved recognition highly suggestive sign aid early diagnosis treatment.

参考文章(30)
Shantan Reddy, Emmett T. Cunningham Jr., Richard F. Spaide, Syphilitic retinitis with focal inflammatory accumulations. Ophthalmic Surgery Lasers & Imaging. ,vol. 37, pp. 429- 431 ,(2006) , 10.3928/15428877-20060901-13
Nazmiye Erol, Seyhan Topbas, Acute syphilitic posterior placoid chorioretinitis after an intravitreal triamcinolone acetonide injection Acta Ophthalmologica Scandinavica. ,vol. 84, pp. 435- 435 ,(2006) , 10.1111/J.1600-0420.2005.00641.X
Sanjeewa Wickremasinghe, Cecilia Ling, Richard Stawell, Jonathan Yeoh, Anthony Hall, Ehud Zamir, Syphilitic Punctate Inner Retinitis in Immunocompetent Gay Men Ophthalmology. ,vol. 116, pp. 1195- 1200 ,(2009) , 10.1016/J.OPHTHA.2008.12.055
Susan J. Botham, Kelly-Anne Ressler, Christopher Bourne, Mark J. Ferson, Epidemic infectious syphilis in inner Sydney - strengthening enhanced surveillance Australian and New Zealand Journal of Public Health. ,vol. 30, pp. 529- 533 ,(2006) , 10.1111/J.1467-842X.2006.TB00781.X
J M Durnian, G Naylor, A M Saeed, Ocular syphilis: the return of an old acquaintance Eye. ,vol. 18, pp. 440- 442 ,(2004) , 10.1038/SJ.EYE.6700687
Ji Hun Song, Young Taek Hong, Oh Woong Kwon, Acute syphilitic posterior placoid chorioretinitis following intravitreal triamcinolone acetonide injection Graefes Archive for Clinical and Experimental Ophthalmology. ,vol. 246, pp. 1775- 1778 ,(2008) , 10.1007/S00417-008-0928-Y
T.F. Schlaegel, Sue F. Rao, A review (1970-1980) of 28 presumptive cases of syphilitic uveitis. American Journal of Ophthalmology. ,vol. 93, pp. 412- 414 ,(1982) , 10.1016/0002-9394(82)90129-5
David M. Lee, Marcus Y. Chen, Christopher K. Fairley, The re-emergence of syphilis among homosexually active men in Melbourne Australian and New Zealand Journal of Public Health. ,vol. 29, pp. 390- 391 ,(2005) , 10.1111/J.1467-842X.2005.TB00215.X
David Díaz-Valle, Daniel Pascual Allen, Angel Arteaga Sánchez, Carlos Barros Aguado, J. M. Benítez del Castillo, M. Jesús Fernández Aceñero, Simultaneous bilateral exudative retinal detachment and peripheral necrotizing retinitis as presenting manifestations of concurrent HIV and syphilis infection. Ocular Immunology and Inflammation. ,vol. 13, pp. 459- 462 ,(2005) , 10.1080/09273940490912353
Irene C. Kuo, Michael A. Kapusta, Narsing A. Rao, Vitritis as the primary manifestation of ocular syphilis in patients with HIV infection American Journal of Ophthalmology. ,vol. 125, pp. 306- 311 ,(1998) , 10.1016/S0002-9394(99)80136-6