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01-07-2004 | Case Report

Differential diagnosis of optic neuritis in a patient with ankylosing spondylitis

Authors: Simone Appenzeller, Gláucio R. Werner de Castro, Percival D. Sampaio-Barros, Zoraida Sachetto, Adil M. Samara, Sandra Regina M. Fernandes

Published in: Rheumatology International | Issue 4/2004

Abstract

The authors report a 38-year-old white man with ankylosing spondylitis (AS) who presented with recurrent ischaemic optic neuritis. The initial diagnosis was of multiple sclerosis, but further investigation showed serology and cerebrospinal fluid culture positive for syphilis. After treatment for tertiary syphilis with penicillin, there was complete remission of the ocular symptoms. This case illustrates the differential diagnosis of optic neuritis in AS and supports the relevance of investigating infectious diseases in the management of ischaemic optic neuritis.

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Title: Differential diagnosis of optic neuritis in a patient with ankylosing spondylitis
Authors: Simone Appenzeller
Gláucio R. Werner de Castro
Percival D. Sampaio-Barros
Zoraida Sachetto
Adil M. Samara
Sandra Regina M. Fernandes
Publication date: 01-07-2004
Publisher: Springer-Verlag
Published in: Rheumatology International / Issue 4/2004
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI: https://doi.org/10.1007/s00296-003-0401-5

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