Case Report: Bilateral Choroidal Neovascular Membranes in a Patient With a Delayed Diagnosis of Acute Syphilitic Posterior Placoid Chorioretinopathy.

病例报告 ： 延迟诊断急性梅毒后胎盘脉络膜视网膜病变的患者双侧脉络膜新生血管膜。

• 发表时间: 2022
• 来源期刊: Front Ophthalmol (Lausanne)
• DOI: 10.3389/fopht.2022.890872
• PMID: 38983504
• 文章类型: Case Reports
• 作者列表: Schimansky S,Burke T

关键词: OCT angiography; acute syphilitic posterior placoid chorioretinopathy; choroidal neovascular membrane; intravitreal anti-VEGF; multimodal imaging

Abstract

We report the case of a 78-year old man with a delayed diagnosis of syphilis and an advanced phenotype of acute syphilitic posterior placoid chorioretinopathy after receiving 5 months of high dose steroids prior to anti-treponemal treatment. Bilateral choroidal neovascular membranes were present at the time of diagnosis and were successfully treated with intravitreal aflibercept, following completion of anti-treponemal therapy.

摘要

我们报告了一例78岁的男性，在接受抗螺旋体治疗前接受5个月大剂量类固醇治疗后，梅毒诊断延迟，急性梅毒性后部胎盘脉络膜视网膜病变的晚期表型。双侧脉络膜新生血管膜在诊断时存在，并成功地用玻璃体内阿柏西普治疗，完成抗螺旋体治疗后。