title: Syphilitic outer retinopathy.
abstract: OBJECTIVE
  To present ocular syphilis masquerading as an outer retinopathy.
  
  
  METHODS
  Retrospective case series, including 2 patients with features of acute zonal occult outer retinopathy (AZOOR) complex diseases.
  
  
  RESULTS
  Laboratory results confirmed the diagnosis of syphilis in the 2 cases. Therapy with intravenous penicillin led to an improvement in symptoms, visual acuity, and ancillary testing.
  
  
  CONCLUSIONS
  The protean ophthalmic presentations of syphilis are well known. However, AZOOR-like presentation has not been described previously. This atypical outer retinopathy should alert physicians to keep syphilis in the differential diagnosis of any inflammatory disorder.
authors.affiliation: National Eye Institute, National Institutes of Health , Bethesda, Maryland , USA and.
authors.forename: Breno R
authors.initials: BR
authors.lastname: Lima
authors.forename: Efrem D
authors.initials: ED
authors.lastname: Mandelcorn
authors.forename: Nupura
authors.initials: N
authors.lastname: Bakshi
authors.forename: Robert B
authors.initials: RB
authors.lastname: Nussenblatt
authors.forename: H Nida
authors.initials: HN
authors.lastname: Sen
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004596:Electroretinography; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D011241:Prednisone / Q000627:therapeutic use; D012189:Retrospective Studies; D012607:Scotoma / Q000175:diagnosis* / Q000188:drug therapy; D013587:Syphilis / Q000175:diagnosis* / Q000188:drug therapy; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014794:Visual Fields; D000080363:White Dot Syndromes
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D010400:Penicillin G; D011241:Prednisone