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Secondary Syphilitic Uveitis-A Case Report

梅毒性葡萄膜炎-病例報告

摘要


梅毒性葡萄膜炎之發生率,在過去這一世紀來起浮不定,因此診斷易被忽略。我們報告一五十二歲女性因二期梅毒所造成之兩側肉芽腫性葡萄膜炎,其診斷是根據臨床症狀,VDRL、TPHA、FTA-ABS之陽性血清學反應,及去除其他可能造成兩側肉芽腫性葡萄膜炎之原因,如結核病、類肉瘤病、原田氏病、痳瘋病。此梅毒性葡萄膜炎經高劑量之盤尼西林得有效控制、在兩年之追綜期間未再復發。

關鍵字

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並列摘要


The incidence of syphilitic uveitis has fluctuated during the past century, and the diagnosis was easily overlooked. A 52 year-old woman with bilateral granulomatous uveitis due to secondary syphilis was described. The diagnosis was made by the clinical picture, the positive serologic result of VDRL, TPHA, FTA-ABS, and the elimination of other possible causes of bilateral granulomatous uveitis, such as tuberculosis, sarcoidosis, Harada's disease, and leprosy. The inflammation was then controlled successfully with high doses of penicillin. No recurrence was noted during two year of follow-up period.

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