Abstract
A 30-year-old man with bilateral neuroretinitis and uveitis associated with secondary syphilis is described. Characteristic lesions on the palms of the hands and the soles of the feet gave us the clue to the diagnosis. Treatment with penicillin resulted in a rapid cure. Syphilic neuroretinitis is often associated with secondary meningitis. Early diagnosis and adequate therapy are important in this serious but treatable condition.
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Arruga J, Valentines J, Mauri F, Roca G, Salom R and Rufi G (1985) Neuroretinitis in acquired syphilis. Ophthalmology 92:262–270
Crouch ER and Goldberg MF (1975) Retinal periarteritis secondary to syphilis. Arch Ophthal 93:384–387
Danner SA (1985) AIDS, een klinische diagnose, du met valkuilen. Ned Tijdschr Geneeskd 129:481–483
deLuise VP, Clark SW, Smith JL and Collart P (1982) Syphilitic retinal detachment and uveal effusion. Amer J Ophthal 94:757–761
Folk JC, Weingeist TA, Corbett JJ, Lobes LA and Watzke RC (1983) Syphilitic neuroretinitis. Amer J Ophthal 95:480–486
Khadem M, Kalish SB, Goldsmith J, Fetkenhour C, O'Grady RB, Phair JP and Chrobak M (1984) Ophthalmologic findings in Acquired Immune Deficiency Syndrome (AIDS). Arch Ophthal 102:201–206
Lobes LA and Folk JC (1981) Syphilitic phlebitis simulating branch vein occlusion. Ann Ophthal 13:825–827
Martin NF and Fitzgerald CR (1979) Cystoid macular edema as the primary sign of neurosphyilitis. Amer J Ophthal 88:28–31
Mohr JA, Griffiths J, Jackson R, Saadah H, Bird P and Riddle J (1976) Neurosyphilis and penicillin levels in cerebrospinal fluid. J Amer Med Ass 236:2208–2209
Ross WH and Sutton HF (1980) Acquired syphilitic uveitis. Arch Ophthal 98:496–498
Schlaegel TF and Kao SF (1982) A review (1970–1980) of 28 presumptive cases of syphilitic uveitis. Amer J Ophthal 93:412–414
Simon R (1985) Neurosyphilis. Arch Neurol 42:606–613
Smith JL and Israel CW (1967) Spirochetes in the aqueous humor in seronegative ocular syphilis; persistence after penicillin therapy. Arch Ophthal 77:474–477
Spector FE, Eagle RS and Nichols CW (1981) Granulomatous conjunctivitis secondary to Treponema pallidum. Ophthalmology 88:863–865
Weinstein JM, Lexow SS, Ho P and Spickards A (1981) Acute syphilitic optic neuritis. Arch Ophthal 99:1392–1395
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Veldman, E., Bos, P.J.M. Neuroretinitis in secondary syphilis. Doc Ophthalmol 64, 23–29 (1986). https://doi.org/10.1007/BF00166682
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DOI: https://doi.org/10.1007/BF00166682