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Ocular syphilis--back again: understanding recent increases in the incidence of ocular syphilitic disease
Alex Fonollosa1, Joan Giralt, Laura Pelegrín
1Department of Ophthalmology, Hospital Vall d'Hebron, Universidad Autonoma de Barcelona, Spain. 36427afc@comb.es
Purpose:
The clinical findings and outcomes of 12 cases of luetic uveitis are reported.
Methods:
Review of clinical records.
Results:
Patients included 10 men and 2 women; 7 were homosexual, 9 HIV-positive. Six patients presented a medical history suggestive of syphilis. All patients presented with iritis and vitritis. Visual acuity improved in 11 patients after treatment.
Conclusions:
Syphilis has reemerged in developed countries. This may be related to the post-AID S/HAART era, with a growing pool of HIV-positive men who oftenly practice unsafe sex. We underscore the importance of a high index of suspicion of ocular syphilis in patients with these characteristics.
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