What vision loss might bring to light

Jegerlehner, Sabrina; Vogel, Daniel; Tappeiner, Christoph; Leib, Stephen (2012). What vision loss might bring to light. Praxis - schweizerische Rundschau für Medizin, 101(6), pp. 419-423. Bern: Huber 10.1024/1661-8157/a000869

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We report a case of a 36-year old patient who suffered from a unilateral painless loss of vision. Ophthalmological examination in the context of a highly reactive syphilis serology revealed an acute syphilitic posterior placoide chorioretinitis (ASPPC). Additional clinical findings were a mucosal lesion on the upper lip, consistent with a plaque opaline and an alopecia specifica as manifestation of secondary syphilis. Treatment consisted in 6x 4 Mio. IE Penicillin G for 14 days and 50 mg Prednison for five days to prevent a Jarisch Herxheimer reaction. The diagnostic measures, therapy and follow up of syphilis, focusing on ocular involvement, are described.

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