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Case Reports
. 2009 May-Jun;17(3):207-12.
doi: 10.1080/09273940902741709.

Ocular syphilis--back again: understanding recent increases in the incidence of ocular syphilitic disease

Alex Fonollosa  1 , Joan Giralt, Laura Pelegrín, Bernat Sánchez-Dalmau, Antonio Segura, José García-Arumí, Alfredo Adan
Affiliations
Case Reports

Ocular syphilis--back again: understanding recent increases in the incidence of ocular syphilitic disease

Alex Fonollosa et al. Ocul Immunol Inflamm. 2009 May-Jun.

Abstract

Purpose: The clinical findings and outcomes of 12 cases of luetic uveitis are reported.

Methods: Review of clinical records.

Results: Patients included 10 men and 2 women; 7 were homosexual, 9 HIV-positive. Six patients presented a medical history suggestive of syphilis. All patients presented with iritis and vitritis. Visual acuity improved in 11 patients after treatment.

Conclusions: Syphilis has reemerged in developed countries. This may be related to the post-AID S/HAART era, with a growing pool of HIV-positive men who oftenly practice unsafe sex. We underscore the importance of a high index of suspicion of ocular syphilis in patients with these characteristics.

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