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Revista mexicana de oftalmología
On-line version ISSN 2604-1227Print version ISSN 0187-4519
Abstract
PAULO, José D.; GOMEZ-SUAREZ, Isabel C. and MONTOYA-CARRASQUILLA, Diana C.. Nodular scleritis caused by neurosyphilis in an immunocompetent patient. Case report. Rev. mex. oftalmol [online]. 2021, vol.95, n.4, pp.171-174. Epub July 30, 2021. ISSN 2604-1227. https://doi.org/10.24875/rmo.m21000170.
Case report:
A 59-year-old woman with nodular scleritis without improvement after oral treatment with non-steroidal anti-inflammatory drugs, and oral and topical corticosteroids. Tests were performed finding reactive VDRL in 32 dls and reactive FTA-ABS. A lumbar puncture evidenced pleocytosis. Nodular scleritis secondary to neurosyphilis was diagnosed and treatment with intravenous penicillin was initiated, showing improvement of scleral inflammation.
Discussion:
Scleritis due to syphilis is uncommon, and even more so if it is the only ocular manifestation. In addition, most reports of scleritis as a manifestation of syphilis have been described in people with HIV infection, but our patient was not immunocompromised, and HIV serology was negative.
Keywords : Sclera; Syphilis; Scleral diseases; Uveitis; Ocular inflammation.
