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Journal of Ophthalmic Inflammation and Infection

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Open Access 01-12-2013 | Brief report

Bilateral nongranulomatous anterior uveitis associated with chancre of the tongue: initial presentation of syphilis

Authors: Clovis Arcoverde Freitas-Neto, Vinícius Monteiro Castro, Daniel Vitor Vasconcelos-Santos

Published in: Journal of Ophthalmic Inflammation and Infection | Issue 1/2013

Abstract

Background

This paper reports the case of a pleomorphic manifestation of syphilis, a reemerging sexually transmitted disease.

Findings

A 51-year-old male presented with bilateral nongranulomatous anterior uveitis associated with an isolated syphilitic chancre of the tongue that was successfully treated with parenteral benzathine penicillin.

Conclusion

Syphilis has the potential to lead to any type of intraocular inflammation. A careful review of the symptoms is useful for the detection of extraocular signs of syphilitic infection.

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Hook EW, Peeling RW: Syphilis control - a continuing challenge. N Engl J Med 2004, 351: 122–124. 10.1056/NEJMp048126PubMedCrossRef

Chao JR, Khurana RN, Fawzi AA, Reddy HS, Rao NA: Syphilis: reemergence of an old adversary. Ophthalmology 2006, 113: 2074–2079. 10.1016/j.ophtha.2006.05.048PubMedCrossRef

Hong MC, Sheu SJ, Wu TT, Chuang CT: Ocular uveitis as the initial presentation of syphilis. J Chin Med Assoc 2007,70(7):274–280. 10.1016/S1726-4901(07)70004-7PubMedCrossRef

Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC) (2010): Sexually transmitted diseases treatment guidelines. Morbidity and Mortality Weekly Report: Recommendations and Reports 2010,59(RR-12):26–44.

Katz DA, Berger JR, Duncan RC: Neurosyphilis: a comparative study of the effects of infection with immunodefficiency virus. Arch Neurol 1993,50(3):243–249. 10.1001/archneur.1993.00540030009006PubMedCrossRef

Amaratunge BC, Camuglia JE, Hall AJ: Syphilitic uveitis: a review of clinical manifestations and treatment outcomes of syphilitic uveitis in human immunodeficiency virus-positive and negative patients. Clin Experiment Ophthalmol 2010,38(1):68–74. 10.1111/j.1442-9071.2010.02203.xPubMedCrossRef

Lu SY, Eng HL: Secondary syphilis-related oral ulcers: report of four cases. Chang Gung Med J 2002,25(10):683–688.PubMed

Staines K, Sloan P: Images in clinical medicine. Syphilitic chancre of the tongue. N Engl J Med 2011,365(5):e 11.CrossRef

Leuci S, Martina S, Adamo D, Ruoppo E, Santarelli A, Sorrentino R, Flavia G, Mignogna M: Oral syphilis: a retrospective analysis of 12 cases and a review of the literature. Oral Dis 2012. 10.1111/odi.12058

10.

Dalmau J, Alegre M, Sambeat MA, Roé E, Peramiquel L, Alomar A: Syphilitic nodules on the tongue. J Am Acad Dermatol 2006,54(2 Suppl):S59-S60.PubMedCrossRef

Title: Bilateral nongranulomatous anterior uveitis associated with chancre of the tongue: initial presentation of syphilis
Authors: Clovis Arcoverde Freitas-Neto
Vinícius Monteiro Castro
Daniel Vitor Vasconcelos-Santos
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Journal of Ophthalmic Inflammation and Infection / Issue 1/2013
Electronic ISSN: 1869-5760
DOI: https://doi.org/10.1186/1869-5760-3-33

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bilateral nongranulomatous anterior uveitis associated with chancre of the tongue: initial presentation of syphilis

Abstract

Background

Findings

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Findings

Conclusion

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