![]() Optical coherence tomography of the patient’s right macula demonstrates the characteristic outer retinal abnormalities of ASPPC. 8,10 ASPPC is characterized by large solitary placoid lesions in the area of the macula that are pale yellow.įigure 4. Interestingly, this particular case report demonstrated an entity known as acute syphilitic posterior placoid chorioretinitis (ASPPC), one of the more unique manifestations of ocular syphilis originally described by J. Note that ocular manifestations are listed under the secondary stage, however many ophthalmologists feel that ocular involvement is synonymous with neurosyphilis. ![]() Can range from asymptomatic to headache, cranial nerve palsies, vertigo, personality changes, dementia, intention tremor, ataxia, presence of Argyll Robertson pupil, areflexia, loss of proprioceptionĬlinical stages and manifestations of syphilis. Meningoencephalitis, locomotor ataxia, generalized paresis. Two to 12 weeks (two weeks to six months)Įarly (less than one year) to late (more than one year) Rash, fever, lymphadenopathy, mucous lesions, Clinical Stages and Selected Manifestations of Syphilis His visual acuity improved to 20/30 in the right eye and was stable at 20/20 in the left. Marked reduction in his uveitic cellular reaction occurred within one week of treatment initiation. He was also given topical steroid prednisolone eye drops four times a day in both eyes. He underwent penicillin desensitization and then received IV penicillin in standard neurosyphilis therapeutic doses. An inpatient lumbar puncture showed pleocytosis (>10 WBC/mm3) and an elevated protein level of 76 mg/dL. He had a documented allergy to penicillin, and, thus, was admitted to the hospital for co-management with the Infectious Disease and Medicine Services. The patient was diagnosed with acute ocular syphilis.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |