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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology

UniBE Contributor:

Jegerlehner, Sabrina; Vogel, Daniel; Tappeiner, Christoph and Leib, Stephen

Subjects:

500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health

ISSN:

1661-8157

Publisher:

Huber

Language:

German

Submitter:

Christoph Tappeiner

Date Deposited:

04 Oct 2013 14:23

Last Modified:

19 Sep 2017 18:26

Publisher DOI:

10.1024/1661-8157/a000869

PubMed ID:

22419141

BORIS DOI:

10.7892/boris.8120

URI:

https://boris.unibe.ch/id/eprint/8120 (FactScience: 213605)

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