Syphilitic scleritis and choroidal malignant melanoma of the same eye.
A 42-year-old Italian homosexual presented with a red painful eye associated with exudative retinal detachment that was subsequently attributed to syphilitic posterior scleritis. These findings all resolved with intravenous penicillin therapy. However, choroidal mass lesion persisted and subsequent ancillary imaging including B scan and ultrasonography confirmed the presence of a choroidal melanoma, which was treated with radioactive plaque therapy. This case report will describe the interesting findings of this unique presentation.
Win
Peter H
PH
Jules Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA.
Gonzales
Christine R
CR
Young
Tara
T
Yates
Barbara
B
Sarraf
David
D
D000328:Adult; D001918:Brachytherapy; D002830:Choroid Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000532:radiotherapy; D005654:Fundus Oculi; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008545:Melanoma / Q000150:complications* / Q000175:diagnosis / Q000532:radiotherapy; D010406:Penicillins / Q000008:administration & dosage / Q000627:therapeutic use; D015423:Scleritis / Q000150:complications* / Q000382:microbiology*; D013587:Syphilis / Q000150:complications* / Q000188:drug therapy; D014463:Ultrasonography
D010406:Penicillins