关键词: HIV coinfection Multimodal imaging ocular syphilis posterior segment syphilitic posterior uveitis

来  源:   DOI:10.1080/09273948.2023.2244073

Abstract:
UNASSIGNED: To analyze the frequent multimodal imaging features in posterior syphilitic uveitis.
UNASSIGNED: Syphilis infection has re-emerged as a global health problem. Multimodal imaging approach has been proposed for diagnosis and follow-up; there are not previous reports dedicated to the anatomic and visual outcomes in patients diagnosed with ocular syphilis and concomitant HIV infection.
UNASSIGNED: All demographic information was recovered; a complete ophthalmological examination and multimodal imaging evaluation (retinal fluorescein angiography (FA), autofluorescence (AF), optical coherence tomography (OCT)) were performed on initial visit and 1 month after antibiotic therapy.
UNASSIGNED:    18 eyes of 9 patients were included. The most frequent features observed were: Hyperfluorescence on optic disk on FA, Hyperautofluorescence punctate pattern on AF, Vitritis on SD-OCT. After treatment, there was a functional and anatomical improvement.
UNASSIGNED: Ocular syphilis represents a diagnostic challenge. Multimodal imaging approach allows identification of structural changes, follow-up and early detection of complications.
摘要:
分析后梅毒性葡萄膜炎的常见多模态影像学特征。
梅毒感染已重新成为全球健康问题。已提出多模式成像方法用于诊断和随访;以前没有专门针对诊断为眼部梅毒并伴有HIV感染的患者的解剖和视觉结果的报道。
恢复了所有人口统计信息;完整的眼科检查和多模态成像评估(视网膜荧光素血管造影术(FA),自发荧光(AF),光学相干断层扫描(OCT))在初次访视时和抗生素治疗后1个月进行.纳入
9例患者的18只眼。观察到的最常见特征是:FA上的视盘上的高荧光,房颤上的高自发荧光点状图案,SD-OCT上的玻璃体炎。治疗后,有功能和解剖学上的改善。
眼部梅毒是一种诊断挑战。多模态成像方法可以识别结构变化,随访和早期发现并发症。
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