David L Kilpatrick, MD » ASPPC

Oct 2 2020 by David L Kilpatrick, MD

22-year-old female presented with painless blurry vision OD > OS for one week. On exam, she exhibited moderate vitritis, papillitis and broad placoid chorioretinitis OD and multifocal placoid peripheral chorioretinitis OS (without vitritis or papillitis). The anterior segment was unremarkable OU. Serum RPR and confirmatory treponemal Ab were both positive. Neuroimaging and CSF studies were unremarkable. A 2 week course of IV penicillin was initiated. The placoid lesions had resolved five days after beginning treatment.

Photographer: Mississippi Retina Associates

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis