Pseudoretinitis pigmentosa due to syphilis: a case report and literature review
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000400507 |
Resumo: | ABSTRACT Syphilis is a sexually transmitted infection caused by the spirochete Treponema pallidum. Ocular involvement can occur at any time, and it may affect 10% of patients in the secondary stage, and from 2% to 5% in the tertiary stage. Uveitis is the most common presentation of ocular syphilis, affecting 0.4% to 8% of patients with systemic disease. Chorioretinitis is the most common posterior alteration. We present the case of a 53-year-old male patient, presenting with bilateral low visual acuity and nyctalopia for 3 years. His physical examination revealed decreased pupillary reflex, anterior vitreous cells, physiologic papillae, arteriolar attenuation, reduced foveal reflex, diffuse retinal pigment epithelium atrophy, peripapillary and perivascular punctate pigment accumulation and peripheral chorioretinitis. Full-field electroretinogram was extinct in both eyes. Treponemal syphilis test was positive. Previously diagnosed as retinitis pigmentosa, evolved to blindness, despite proper treatment. Our case shows syphilis as a significant cause of blindness. Atypical presentations of retinitis pigmentosa must warn ophthalmologists to etiologies of pseudoretinitis pigmentosa, such as syphilis. |
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Pseudoretinitis pigmentosa due to syphilis: a case report and literature reviewSyphilisNeurosyphilisUveitis, posteriorNight blindnessRetinitis pigmentosaABSTRACT Syphilis is a sexually transmitted infection caused by the spirochete Treponema pallidum. Ocular involvement can occur at any time, and it may affect 10% of patients in the secondary stage, and from 2% to 5% in the tertiary stage. Uveitis is the most common presentation of ocular syphilis, affecting 0.4% to 8% of patients with systemic disease. Chorioretinitis is the most common posterior alteration. We present the case of a 53-year-old male patient, presenting with bilateral low visual acuity and nyctalopia for 3 years. His physical examination revealed decreased pupillary reflex, anterior vitreous cells, physiologic papillae, arteriolar attenuation, reduced foveal reflex, diffuse retinal pigment epithelium atrophy, peripapillary and perivascular punctate pigment accumulation and peripheral chorioretinitis. Full-field electroretinogram was extinct in both eyes. Treponemal syphilis test was positive. Previously diagnosed as retinitis pigmentosa, evolved to blindness, despite proper treatment. Our case shows syphilis as a significant cause of blindness. Atypical presentations of retinitis pigmentosa must warn ophthalmologists to etiologies of pseudoretinitis pigmentosa, such as syphilis.Sociedade Brasileira de Oftalmologia2021-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000400507Revista Brasileira de Oftalmologia v.80 n.4 2021reponame:Revista Brasileira de Oftalmologia (Online)instname:Sociedade Brasileira de Oftalmologia (SBO)instacron:SBO10.37039/1982.8551.20210025info:eu-repo/semantics/openAccessPaiva,Alexandre de Carvalho MendesBritto,Vinícius Secchim deCriado,Guilherme GarciaSimões,Kelma Macedo PohlmannMotta,Mário Martins dos Santoseng2021-08-18T00:00:00Zoai:scielo:S0034-72802021000400507Revistahttps://rbo.emnuvens.com.br/rbo/indexhttps://old.scielo.br/oai/scielo-oai.phpsob@sboportal.org.br||rbo@sboportal.org.br1982-85510034-7280opendoar:2021-08-18T00:00Revista Brasileira de Oftalmologia (Online) - Sociedade Brasileira de Oftalmologia (SBO)false |
dc.title.none.fl_str_mv |
Pseudoretinitis pigmentosa due to syphilis: a case report and literature review |
title |
Pseudoretinitis pigmentosa due to syphilis: a case report and literature review |
spellingShingle |
Pseudoretinitis pigmentosa due to syphilis: a case report and literature review Paiva,Alexandre de Carvalho Mendes Syphilis Neurosyphilis Uveitis, posterior Night blindness Retinitis pigmentosa |
title_short |
Pseudoretinitis pigmentosa due to syphilis: a case report and literature review |
title_full |
Pseudoretinitis pigmentosa due to syphilis: a case report and literature review |
title_fullStr |
Pseudoretinitis pigmentosa due to syphilis: a case report and literature review |
title_full_unstemmed |
Pseudoretinitis pigmentosa due to syphilis: a case report and literature review |
title_sort |
Pseudoretinitis pigmentosa due to syphilis: a case report and literature review |
author |
Paiva,Alexandre de Carvalho Mendes |
author_facet |
Paiva,Alexandre de Carvalho Mendes Britto,Vinícius Secchim de Criado,Guilherme Garcia Simões,Kelma Macedo Pohlmann Motta,Mário Martins dos Santos |
author_role |
author |
author2 |
Britto,Vinícius Secchim de Criado,Guilherme Garcia Simões,Kelma Macedo Pohlmann Motta,Mário Martins dos Santos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Paiva,Alexandre de Carvalho Mendes Britto,Vinícius Secchim de Criado,Guilherme Garcia Simões,Kelma Macedo Pohlmann Motta,Mário Martins dos Santos |
dc.subject.por.fl_str_mv |
Syphilis Neurosyphilis Uveitis, posterior Night blindness Retinitis pigmentosa |
topic |
Syphilis Neurosyphilis Uveitis, posterior Night blindness Retinitis pigmentosa |
description |
ABSTRACT Syphilis is a sexually transmitted infection caused by the spirochete Treponema pallidum. Ocular involvement can occur at any time, and it may affect 10% of patients in the secondary stage, and from 2% to 5% in the tertiary stage. Uveitis is the most common presentation of ocular syphilis, affecting 0.4% to 8% of patients with systemic disease. Chorioretinitis is the most common posterior alteration. We present the case of a 53-year-old male patient, presenting with bilateral low visual acuity and nyctalopia for 3 years. His physical examination revealed decreased pupillary reflex, anterior vitreous cells, physiologic papillae, arteriolar attenuation, reduced foveal reflex, diffuse retinal pigment epithelium atrophy, peripapillary and perivascular punctate pigment accumulation and peripheral chorioretinitis. Full-field electroretinogram was extinct in both eyes. Treponemal syphilis test was positive. Previously diagnosed as retinitis pigmentosa, evolved to blindness, despite proper treatment. Our case shows syphilis as a significant cause of blindness. Atypical presentations of retinitis pigmentosa must warn ophthalmologists to etiologies of pseudoretinitis pigmentosa, such as syphilis. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000400507 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000400507 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.37039/1982.8551.20210025 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Oftalmologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Oftalmologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Oftalmologia v.80 n.4 2021 reponame:Revista Brasileira de Oftalmologia (Online) instname:Sociedade Brasileira de Oftalmologia (SBO) instacron:SBO |
instname_str |
Sociedade Brasileira de Oftalmologia (SBO) |
instacron_str |
SBO |
institution |
SBO |
reponame_str |
Revista Brasileira de Oftalmologia (Online) |
collection |
Revista Brasileira de Oftalmologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Oftalmologia (Online) - Sociedade Brasileira de Oftalmologia (SBO) |
repository.mail.fl_str_mv |
sob@sboportal.org.br||rbo@sboportal.org.br |
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1752122339484499968 |