梅毒性外层视网膜病变。
Syphilitic outer retinopathy.
机构信息
National Eye Institute, National Institutes of Health , Bethesda, Maryland , USA and.
出版信息
Ocul Immunol Inflamm. 2014 Feb;22(1):4-8. doi: 10.3109/09273948.2013.841960. Epub 2013 Oct 30.
PURPOSE
To present ocular syphilis masquerading as an outer retinopathy.
METHODS
Retrospective case series, including 2 patients with features of acute zonal occult outer retinopathy (AZOOR) complex diseases.
RESULTS
Laboratory results confirmed the diagnosis of syphilis in the 2 cases. Therapy with intravenous penicillin led to an improvement in symptoms, visual acuity, and ancillary testing.
CONCLUSIONS
The protean ophthalmic presentations of syphilis are well known. However, AZOOR-like presentation has not been described previously. This atypical outer retinopathy should alert physicians to keep syphilis in the differential diagnosis of any inflammatory disorder.
目的
表现为外层视网膜病变的眼部梅毒。
方法
回顾性病例系列，包括 2 例具有急性区域性隐匿性外层视网膜病变（AZOOR）复杂疾病特征的患者。
结果
实验室结果证实了这 2 例梅毒的诊断。静脉注射青霉素治疗导致症状、视力和辅助检查均有所改善。
结论
梅毒的眼部表现多种多样，这是众所周知的。然而，以前没有描述过类似 AZOOR 的表现。这种非典型的外层视网膜病变应该提醒医生，在任何炎症性疾病的鉴别诊断中都要考虑梅毒。
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