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Ocular Syphilis

Yasser M. Elshatory, MD, PhD; Theresa A. Larson, MD
JAMA Ophthalmol. 2013;131(9):1219. doi:10.1001/jamaophthalmol.2013.1614.
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A 23-year-old patient with AIDS (absolute CD4 cell count, 64/μL) demonstrated bilateral serous retinal detachments with superficial retinal precipitates (A), retinal phlebitis (B), and erythematous plaques on the palms (C). Testing for serum rapid plasma reagin and fluorescent treponemal antibody–absorption was positive. The findings resolved on a neurosyphilis treatment protocol.

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syphilis ; eye

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A 23-year-old patient with AIDS (absolute CD4 cell count, 64/μL) demonstrated bilateral serous retinal detachments with superficial retinal precipitates (A), retinal phlebitis (B), and erythematous plaques on the palms (C). Testing for serum rapid plasma reagin and fluorescent treponemal antibody–absorption was positive. The findings resolved on a neurosyphilis treatment protocol.

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