title: Syphilitic scleritis and choroidal malignant melanoma of the same eye.
abstract: 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.
authors.affiliation: Jules Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095, USA.
authors.forename: Peter H
authors.initials: PH
authors.lastname: Win
authors.forename: Christine R
authors.initials: CR
authors.lastname: Gonzales
authors.forename: Tara
authors.initials: T
authors.lastname: Young
authors.forename: Barbara
authors.initials: B
authors.lastname: Yates
authors.forename: David
authors.initials: D
authors.lastname: Sarraf
mesh_terms: 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
chemical_list: D010406:Penicillins