Syphilitic Scleritis.
A 47-year-old man developed a painful right red eye for 72 hours with a 20/25 decreased visual acuity. He had no medical history. Slit-lamp examination revealed a painful nodular scleritis at the equator of the globe in the infero-temporal quadrant. There was a moderate intraocular inflammation in the anterior segment. Fundus examination revealed a grade 1 hyalitis and a focal retinitis with vasculitis and arterio-veinous occlusion toward the scleritis zone. Syphilis and HIV serology were positive and the scleritis resolved 5 days after a penicillin G medication. Syphilitic scleritis are relatively uncommon.
a Ophthalmology and Refractive Surgery Unit, Percy Military Hospital, Clamart, France; and Department of Ophthalmology, Val-de-Grâce Military Hospital , Paris , France and.
Jean-Rémi
JR
Fénolland
b Ophthalmology and Refractive Surgery Unit, Percy Military Hospital , Clamart , France.
Samantha
S
Bonnel
b Ophthalmology and Refractive Surgery Unit, Percy Military Hospital , Clamart , France.
Camille
C
Rambaud
b Ophthalmology and Refractive Surgery Unit, Percy Military Hospital , Clamart , France.
Françoise
F
Froussart-Maille
b Ophthalmology and Refractive Surgery Unit, Percy Military Hospital , Clamart , France.
Jean-Claude
JC
Rigal-Sastourné
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D031300:Retinal Vasculitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D012170:Retinal Vein Occlusion / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D012173:Retinitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D015423:Scleritis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013587:Syphilis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013588:Syphilis Serodiagnosis
D000900:Anti-Bacterial Agents; D010400:Penicillin G
HIV coinfection; red eye; scleritis; syphilis; uveitis