Abdelnabi Mahmoud, Rimu Afrina, Siddiqui Sabrina, Mora Barbara, Guerin Cynthia
Department of Internal Medicine, Texas Tech University Health Science Center, Lubbock, Texas.
Department of Ophthalmology and Visual Sciences, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proc (Bayl Univ Med Cent). 2023 Mar 15;36(3):380-382. doi: 10.1080/08998280.2023.2187184. eCollection 2023.
This case demonstrates the dilemma in the diagnosis of ocular syphilis, as it can mimic many other ocular conditions where initial steroid therapy might complicate the disease course and can worsen the infection. Also, it represents an example of anchoring bias, where a provisional diagnosis resulted in unnecessary treatment that would have worsened her clinical outcomes.
该病例展示了眼部梅毒诊断中的困境,因为它可能模仿许多其他眼部疾病,而最初的类固醇治疗可能会使病程复杂化并加重感染。此外,它代表了一种锚定偏差的例子,即初步诊断导致了不必要的治疗,而这会使她的临床结果恶化。