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二期梅毒所致葡萄膜炎。

Uveitis due to secondary syphilis.

作者信息

Tait I A

出版信息

Br J Vener Dis. 1983 Dec;59(6):397-401. doi: 10.1136/sti.59.6.397.

DOI:10.1136/sti.59.6.397
PMID:6640263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1046245/
Abstract

The incidence of uveitis caused by syphilis has fluctuated during the past century. This paper suggests ways in which the diagnosis of this condition may be helped by reactions to chemotherapy. It also reports on a 22 year old woman presenting with anterior uveitis due to secondary syphilis, who rapidly developed bilateral papilloedema on starting antisyphilitic chemotherapy. She later developed psychiatric symptoms which were partly the result of corticosteroid treatment.

摘要

在过去的一个世纪里,由梅毒引起的葡萄膜炎发病率波动不定。本文提出了一些方法,通过化疗反应可能有助于这种疾病的诊断。本文还报告了一名22岁因二期梅毒出现前葡萄膜炎的女性,在开始抗梅毒化疗后迅速出现双侧视乳头水肿。她后来出现精神症状,部分是皮质类固醇治疗的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/f37d880fdd02/brjvendis00012-0052-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/81a70315892c/brjvendis00012-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/0ee60240c5df/brjvendis00012-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/f331bbdf11e6/brjvendis00012-0051-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/4faf7d2ea945/brjvendis00012-0051-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/b4ba77546a39/brjvendis00012-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/4f49ce0abfbe/brjvendis00012-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/f37d880fdd02/brjvendis00012-0052-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/81a70315892c/brjvendis00012-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/0ee60240c5df/brjvendis00012-0051-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/f331bbdf11e6/brjvendis00012-0051-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/4faf7d2ea945/brjvendis00012-0051-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/b4ba77546a39/brjvendis00012-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/4f49ce0abfbe/brjvendis00012-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee5/1046245/f37d880fdd02/brjvendis00012-0052-c.jpg

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引用本文的文献

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Bilateral papillitis and unilateral focal chorioretinitis as the presenting features of syphilis.双侧视乳头炎和单侧局灶性脉络膜视网膜炎作为梅毒的首发症状
J Ophthalmic Inflamm Infect. 2015 Jun 5;5:16. doi: 10.1186/s12348-015-0045-0. eCollection 2015.
3
Successful treatment of syphilitic uveitis in HIV-positive patients.HIV阳性患者梅毒葡萄膜炎的成功治疗。

本文引用的文献

1
Signs and symptoms of uveitis. II. Classification of the posterior manifestations of uveitis.葡萄膜炎的体征和症状。II. 葡萄膜炎后段表现的分类。
Am J Ophthalmol. 1959 May;47(5 Pt 2):171-6. doi: 10.1016/s0002-9394(14)78240-6.
2
A case of syphilitic uveitis.一例梅毒性葡萄膜炎。
Am J Ophthalmol. 1981 Feb;91(2):261-3. doi: 10.1016/0002-9394(81)90187-2.
3
Acquired syphilitic uveitis.
Arch Ophthalmol. 1980 Mar;98(3):496-8. doi: 10.1001/archopht.1980.01020030492011.
Clin Ophthalmol. 2013;7:1651-4. doi: 10.2147/OPTH.S46876. Epub 2013 Aug 20.
4
Syphilitic optic perineuritis.梅毒性视神经周围炎
Am J Ophthalmol. 1981 Mar;91(3):404-6. doi: 10.1016/0002-9394(81)90298-1.
5
Secondary syphilitic uveitis.二期梅毒葡萄膜炎
Am J Ophthalmol. 1981 Aug;92(2):210-4. doi: 10.1016/0002-9394(81)90773-x.
6
Acute choroido-retinitis in secondary syphilis. Presence of spiral organisms in the aqueous humour.二期梅毒中的急性脉络膜视网膜炎。房水中螺旋体的存在。
Br J Vener Dis. 1971 Jun;47(3):159-61. doi: 10.1136/sti.47.3.159.
7
Clinically silent anterior uveitis in secondary syphilis.
Trans Ophthalmol Soc U K (1962). 1976 Apr;96(1):148-50.
8
Neurosyphilis.神经梅毒
Br J Hosp Med. 1977 Jun;17(6):585-604.