PDF(Pubmed)
Abstract：
Syphilis is a sexually transmitted disease caused by the spirochete bacterium Treponema pallidum. Syphilis is a significant public health issue, notably in (HIV) positive patients. Due to the absence of pathognomonic signs in secondary syphilis and its ability to present and mimic a wide variety of clinical findings, it gained the name \"the Great imitator \'(mimicker).\' Herein, we describe a case of a 51-year-old man who presented with acute painless loss of vision of the right eye preceded by a few erythematous plaques with thick scales over bilateral legs and multiple discrete and confluent scaly papules over the palms and soles. During the hospital stay, a diagnosis of non-arteritic anterior ischemic optic neuropathy (NAION) as a manifestation of neurosyphilis is made. To the best of our knowledge, this is the first reported case of NAION as the presenting symptom of neurosyphilis in secondary syphilis in an immunocompetent patient.
摘要：
梅毒是由螺旋体细菌梅毒螺旋体引起的性传播疾病。梅毒是一个重要的公共卫生问题，尤其是（HIV）阳性患者。由于在二期梅毒中缺乏病理标志，并且其能够呈现和模拟各种临床发现，它获得了“伟大的模仿者”(mimicker)的名字。\'在这里，我们描述了一例51岁的男性,他的右眼出现急性无痛性视力丧失,之前出现了一些红斑,双侧腿上有厚厚的鳞片,手掌和脚掌上有多个离散和融合的鳞状丘疹.住院期间,诊断为非动脉炎性前部缺血性视神经病变（NAION）是神经梅毒的表现。据我们所知,这是首例报道的NAION病例，在具有免疫能力的患者的继发性梅毒中表现出神经梅毒的症状。
