Syphilitic Uveitis

file Retina Image Bank

File number: 52801


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    • By Olivia Rainey
      Retina Specialists of Michigan
      Co-author(s): Joseph Boss, MD
    • Uploaded on Apr 2, 2020.
    • Last modified by Olivia Rainey on Apr 3, 2020.
    Rating
    Appears in
    Miscellaneous
    Condition/keywords
    syphilis neuroretinopathy, optic nerve edema, fluorescein leakage, fluorescein angiogram (FA), disc hyperfluorescence, late phase, Optos, ultra-wide field imaging, uveitis, FA late phase leakage, HIV, phelbitis
    Photographer
    Olivia Rainey
    Imaging device
    Fundus camera
    Optos California
    Description
    Ultrawide-field fluorescein angiogram of a 42-year-old male with syphilitic uveitis affecting his right eye more than his left. Patient is HIV positive. He developed hearing loss and palm/leg/scalp rash prompting diagnosis of neurosyphilis, s/p IM and full IV course of 2.4 Mil PCN G, and finished this course 3/9/20. He admits to recent rectal bleeding with ongoing plan for colonoscopy 3/16/20. He has a history of extensive travel including London, Hong Kong, and Bangkok. His husband has also been treated with IV PCN G, however per chart review he has multiple sexual partners. Patient's vision was 20/20 in each eye.

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