Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis

Jennifer Chen1,3, Lawrence Lee1,21City Eye Centre, Brisbane, Australia; 2Department of Ophthalmology, University of Queensland, Royal Brisbane Hospital, Brisbane, Australia; 3Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, AustraliaAbstract: There appear...

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Autores principales:	Jennifer Chen, Lawrence Lee
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f41158d31af4456bb40dd32afa5f1eaf
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spelling	oai:doaj.org-article:f41158d31af4456bb40dd32afa5f1eaf2021-12-02T02:05:34ZPosterior placoid chorioretinitis: An unusual ocular manifestation of syphilis1177-54671177-5483https://doaj.org/article/f41158d31af4456bb40dd32afa5f1eaf2008-10-01T00:00:00Zhttp://www.dovepress.com/posterior-placoid-chorioretinitis-an-unusual-ocular-manifestation-of-s-a2421https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Jennifer Chen1,3, Lawrence Lee1,21City Eye Centre, Brisbane, Australia; 2Department of Ophthalmology, University of Queensland, Royal Brisbane Hospital, Brisbane, Australia; 3Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, AustraliaAbstract: There appears to be a re-emergence of syphilis in recent times despite a steady decline in incidence for the past decade. Diagnosis of syphilis can be clinically challenging and ocular manifestations of syphilis have a myriad of presentations and severity. Ocular syphilis can occur at any stage of the disease and may also be the only presenting sign of syphilis. We report a case of acute unilateral maculopathy, due to posterior placoid chorioretinitis associated with syphilis, in an immuno-competent patient. Ophthalmoscopy revealed a unilateral yellowish placoid lesion at the macula. Syphilis serology was positive confi rming active infection. There were no other systemic signs of syphilis. The patient was treated with intravenous benzylpenicillin 1.2 g every four hours for two weeks. The lesion resolved with treatment and the retinal appearance returned to normal. This case highlights the importance of raising clinical suspicion of syphilis in view of unexplained decreased vision and ocular inflammation.Keywords: syphilis, treponema, chorioretinitis, posterior uveitis, syphilitic posterior placoid chorioretinitis Jennifer ChenLawrence LeeDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 3, Pp 669-673 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Jennifer Chen Lawrence Lee Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis
description	Jennifer Chen1,3, Lawrence Lee1,21City Eye Centre, Brisbane, Australia; 2Department of Ophthalmology, University of Queensland, Royal Brisbane Hospital, Brisbane, Australia; 3Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, AustraliaAbstract: There appears to be a re-emergence of syphilis in recent times despite a steady decline in incidence for the past decade. Diagnosis of syphilis can be clinically challenging and ocular manifestations of syphilis have a myriad of presentations and severity. Ocular syphilis can occur at any stage of the disease and may also be the only presenting sign of syphilis. We report a case of acute unilateral maculopathy, due to posterior placoid chorioretinitis associated with syphilis, in an immuno-competent patient. Ophthalmoscopy revealed a unilateral yellowish placoid lesion at the macula. Syphilis serology was positive confi rming active infection. There were no other systemic signs of syphilis. The patient was treated with intravenous benzylpenicillin 1.2 g every four hours for two weeks. The lesion resolved with treatment and the retinal appearance returned to normal. This case highlights the importance of raising clinical suspicion of syphilis in view of unexplained decreased vision and ocular inflammation.Keywords: syphilis, treponema, chorioretinitis, posterior uveitis, syphilitic posterior placoid chorioretinitis
format	article
author	Jennifer Chen Lawrence Lee
author_facet	Jennifer Chen Lawrence Lee
author_sort	Jennifer Chen
title	Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis
title_short	Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis
title_full	Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis
title_fullStr	Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis
title_full_unstemmed	Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis
title_sort	posterior placoid chorioretinitis: an unusual ocular manifestation of syphilis
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/f41158d31af4456bb40dd32afa5f1eaf
work_keys_str_mv	AT jenniferchen posteriorplacoidchorioretinitisanunusualocularmanifestationofsyphilis AT lawrencelee posteriorplacoidchorioretinitisanunusualocularmanifestationofsyphilis
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Posterior placoid chorioretinitis: An unusual ocular manifestation of syphilis

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