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[Atypical acute syphilitic posterior placoid chorioretinitis]
Z Szepessy1, B B Entz2, Z Z Nagy3
1Augenklinik, Semmelweis Universität, Mária Str. 39, 1085, Budapest, Ungarn. szepzsu@yahoo.com.
Summary
Acute syphilitic posterior placoid chorioretinitis (ASPPC) is a rare ocular manifestation of syphilis. This case highlights an atypical presentation in an immunocompetent woman, emphasizing the need for prompt diagnosis and treatment.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Retinal Diseases
Background:
- Syphilis can present with diverse ocular manifestations.
- Acute syphilitic posterior placoid chorioretinitis (ASPPC) is an uncommon ocular sign of syphilis.
Observation:
- A case of unilateral, atypical ASPPC in an immunocompetent 38-year-old woman is presented.
- Fundoscopic examination revealed a characteristic yellow-white, placoid lesion at the posterior pole.
- Peripheral multifocal choroiditis was also noted.
Findings:
- The observed fundus and angiographic changes mimicked other chorioretinal diseases.
- Diagnosis of ASPPC was confirmed in this patient.
Implications:
- Accurate diagnosis of ASPPC is crucial as it can be an early sign of syphilis.
- Prompt initiation of systemic antibiotic treatment is vital for managing ocular syphilis.
