title: [What vision loss might bring to light].
abstract: 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 6 x 4 Mio. IE* Penicillin G for 14 days and 50 mg Prednisone for five days to prevent a Jarisch Herxheimer reaction. The diagnostic measures, therapy and follow up of syphilis, focusing on ocular involvement, are described.
authors.affiliation: Universitätsklinik für Infektiologie, Inselspital Bern.
authors.forename: S
authors.initials: S
authors.lastname: Jegerlehner
authors.forename: D
authors.initials: D
authors.lastname: Vogel
authors.forename: C
authors.initials: C
authors.lastname: Tappeiner
authors.forename: S L
authors.initials: SL
authors.lastname: Leib
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020419:Photoreceptor Cells, Vertebrate / Q000473:pathology; D011237:Predictive Value of Tests; D055213:Retinal Pigment Epithelium / Q000473:pathology; D042262:Retinoscopy; D013587:Syphilis / Q000175:diagnosis*; D013588:Syphilis Serodiagnosis; D013591:Syphilis, Cutaneous / Q000175:diagnosis; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000209:etiology*; D014787:Vision Tests