梅毒性全葡萄膜炎：病例報告

Syphilitic Panuveitis-A Case Report

江炳煌(Ping-Hung Chiang) ； 高鳴傑(Ming-Chieh Kao)

《Journal of Medical Sciences》 18卷1期 (1997/08) Pp. 44-47

摘要

梅毒性眼症的表現是變化多端的，而葡萄膜炎只是其特徵之一。本篇報告一位五十二歲男性病人，右眼急性單側性脈絡膜炎合併玻璃體炎及虹彩炎，經梅毒血清TPHA檢查，證實為梅毒螺旋菌所引起的，再經由腰椎穿刺及腦脊髓液檢查結果呈陰性反應，且無神經性視網膜炎，顯示此症在臨床上屬於第二期梅毒。經過連續兩週、每四小時給予300萬單位penicillin G靜脈注射治療，發炎的症狀逐漸緩解且視力逐漸恢復。經門診追蹤檢查並未再復發。

關鍵字

葡萄膜炎 ； 梅毒 ； 梅毒性全葡萄膜炎

並列摘要

Syphilitic ocular disorder can have a highly variable presentation and uveitis of acquired syphilis can involve the anterior or the posterior segment. We reported a 52-year-old man who developed acute and nonspecific unilateral choroiditis, vitriti s and iritis. Serologic tests including VDRL and TPHA showed positive and indicated active syphilis. The cerebrospinal fluid study showed negative. No sign of neuroretinitis was found. Secondary syphilis with panuveitis was diagnosed. Penicillin G 3.0 million units intravenously per 4 hours for two weeks was given. The inflammatory syndrome resolved and visual acuity recovered gradually thereafter. No recurrence was noted during follow-up for a period of six months.

並列關鍵字

uveitis ； syphilis ； syphilitic panuveitis