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Proc (Bayl Univ Med Cent). 2023 Mar 15;36(3):380-382. doi: 10.1080/08998280.2023.2187184. eCollection 2023.
2
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本文引用的文献

1
An Updated Review of Recent Advances in Neurosyphilis.神经梅毒近期进展的最新综述
Front Med (Lausanne). 2022 Sep 20;9:800383. doi: 10.3389/fmed.2022.800383. eCollection 2022.
2
Ocular syphilis mimicking Vogt-Koyanagi-Harada disease.酷似Vogt-小柳-原田病的眼部梅毒
Taiwan J Ophthalmol. 2019 Dec 13;9(4):271-275. doi: 10.4103/tjo.tjo_63_19. eCollection 2019 Oct-Dec.
3
Current ophthalmology practice patterns for syphilitic uveitis.当前梅毒性葡萄膜炎的眼科治疗模式。
Br J Ophthalmol. 2019 Nov;103(11):1645-1649. doi: 10.1136/bjophthalmol-2018-313207. Epub 2019 Jan 30.
4
Syphilitic Optic Neuropathy: Re-emerging Cases Over a 2-Year Period.梅毒性视神经病变:两年期间复发病例
Neuroophthalmology. 2016 Feb 22;40(2):69-73. doi: 10.3109/01658107.2015.1134586. eCollection 2016 Apr.
5
Vogt-Koyanagi-Harada disease: Novel insights into pathophysiology, diagnosis and treatment.Vogt-Koyanagi-Harada 病:发病机制、诊断和治疗的新见解。
Prog Retin Eye Res. 2016 May;52:84-111. doi: 10.1016/j.preteyeres.2016.02.002. Epub 2016 Feb 11.
6
Analysis of significant factors influencing visual acuity in ocular syphilis.分析影响眼梅毒视力的重要因素。
Br J Ophthalmol. 2011 Nov;95(11):1568-72. doi: 10.1136/bjo.2010.194498. Epub 2011 Mar 11.
7
Corticosteroids in ocular syphilis.眼部梅毒中的皮质类固醇。
Ophthalmology. 2007 Aug;114(8):1593. doi: 10.1016/j.ophtha.2007.04.017.
8
Revised diagnostic criteria for Vogt-Koyanagi-Harada disease: report of an international committee on nomenclature.Vogt-小柳-原田病修订诊断标准:国际命名委员会报告
Am J Ophthalmol. 2001 May;131(5):647-52. doi: 10.1016/s0002-9394(01)00925-4.

酷似Vogt-小柳-原田综合征的眼梅毒:诊断难题

Ocular syphilis mimicking Vogt-Koyanagi-Harada syndrome: a diagnostic dilemma.

作者信息

Abdelnabi Mahmoud, Rimu Afrina, Siddiqui Sabrina, Mora Barbara, Guerin Cynthia

机构信息

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.

出版信息

Proc (Bayl Univ Med Cent). 2023 Mar 15;36(3):380-382. doi: 10.1080/08998280.2023.2187184. eCollection 2023.

DOI:10.1080/08998280.2023.2187184
PMID:37101906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10125007/
Abstract

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.

摘要

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。