title: Clinical Manifestations and Treatment Outcomes of Syphilitic Uveitis in a Chinese Population.
abstract: Purpose. To describe the clinical manifestations and treatment outcomes of syphilitic uveitis in a Chinese population. Methods. This is a retrospective case series of 15 consecutive patients with syphilitic uveitis treated at a uveitis referral center between 2012 and 2015. Results. Fifteen patients were diagnosed with syphilitic uveitis based on positive serological tests. Nine patients were male. Coinfection with human immunodeficiency virus was detected in two patients. Twenty eyes presented with panuveitis and all patients had posterior involvement. The most frequent manifestations were retinal vasculitis and papillitis, while syphilitic posterior placoid chorioretinitis was only found in three eyes. All patients received systemic penicillin therapy according to CDC guidelines. Nine patients were misdiagnosed before presenting to our center and the delay in treatment with penicillin was associated with poor final visual outcomes (P < 0.05). Conclusions. In our series, both male and female were almost equally affected and coinfection of syphilis with human immunodeficiency virus was uncommon. All patients in this study had posterior involvement and the most common manifestations were retinal vasculitis and papillitis. Syphilis should be considered as an important differential diagnosis especially for posterior uveitis and panuveitis. Early diagnosis and appropriate treatment are important for visual prognosis.
authors.affiliation: Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China; Key Laboratory of Visual Impairment and Restoration, Shanghai 200031, China.
authors.forename: Rui
authors.initials: R
authors.lastname: Zhang
authors.affiliation: Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China; Key Laboratory of Visual Impairment and Restoration, Shanghai 200031, China.
authors.forename: Jiang
authors.initials: J
authors.lastname: Qian
authors.affiliation: Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Guo
authors.affiliation: Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China; Key Laboratory of Visual Impairment and Restoration, Shanghai 200031, China.
authors.forename: Yifei
authors.initials: Y
authors.lastname: Yuan
authors.affiliation: Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China.
authors.forename: Kang
authors.initials: K
authors.lastname: Xue
authors.affiliation: Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China.
authors.forename: Han
authors.initials: H
authors.lastname: Yue
authors.affiliation: Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China; Key Laboratory of Visual Impairment and Restoration, Shanghai 200031, China.
authors.forename: Ling
authors.initials: L
authors.lastname: Chen