Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report
A 51-year-old man had experienced declining visual acuity for 4 months. His best-corrected visual acuity was 20/40 in both eyes. Ophthalmoscopic examination showed a yellowish placoid lesion over the macular area, and spectral-domain optical coherence tomography (SD-OCT) revealed subretinal fluid ac...
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Wolters Kluwer Medknow Publications
2018-01-01
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doaj-baab4850d2a04f84b20e46029328cbf62020-11-25T00:01:35ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722018-01-018317617810.4103/tjo.tjo_18_18Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case reportChu-Yen HuangEugene Yu-Chuan KangKuan-Jen ChenNan-Kai WangA 51-year-old man had experienced declining visual acuity for 4 months. His best-corrected visual acuity was 20/40 in both eyes. Ophthalmoscopic examination showed a yellowish placoid lesion over the macular area, and spectral-domain optical coherence tomography (SD-OCT) revealed subretinal fluid accumulation in the left eye, which resembled that seen with central serous chorioretinopathy (CSCR). Three days later, fluorescein angiography (FA) revealed fluorescein leakage, and indocyanine green angiography (ICGA) showed hypofluorescence over the lesion. Persistent ellipsoid zone loss as spontaneously resolved subretinal fluid was noted at the same time with SD-OCT. Laboratory examination disclosed positive rapid plasma reagin and Treponema pallidum particle agglutination tests (titer >1:1280), which confirmed the diagnosis of ocular syphilis. Acute syphilitic posterior placoid chorioretinopathy (ASPPC) could mimic CSCR with spontaneously resolved subretinal fluid observed in SD-OCT images. The acute loss of the ellipsoid zone, mismatched results from SD-OCT and FA, and picture of retinitis can also provide hints for differentiating the two diseases.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2018;volume=8;issue=3;spage=176;epage=178;aulast=HuangCentral serous chorioretinopathyfluorescein angiographyocular syphilisspectral-domain optical coherence tomography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chu-Yen Huang Eugene Yu-Chuan Kang Kuan-Jen Chen Nan-Kai Wang |
spellingShingle |
Chu-Yen Huang Eugene Yu-Chuan Kang Kuan-Jen Chen Nan-Kai Wang Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report Taiwan Journal of Ophthalmology Central serous chorioretinopathy fluorescein angiography ocular syphilis spectral-domain optical coherence tomography |
author_facet |
Chu-Yen Huang Eugene Yu-Chuan Kang Kuan-Jen Chen Nan-Kai Wang |
author_sort |
Chu-Yen Huang |
title |
Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report |
title_short |
Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report |
title_full |
Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report |
title_fullStr |
Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report |
title_full_unstemmed |
Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report |
title_sort |
acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: a case report |
publisher |
Wolters Kluwer Medknow Publications |
series |
Taiwan Journal of Ophthalmology |
issn |
2211-5056 2211-5072 |
publishDate |
2018-01-01 |
description |
A 51-year-old man had experienced declining visual acuity for 4 months. His best-corrected visual acuity was 20/40 in both eyes. Ophthalmoscopic examination showed a yellowish placoid lesion over the macular area, and spectral-domain optical coherence tomography (SD-OCT) revealed subretinal fluid accumulation in the left eye, which resembled that seen with central serous chorioretinopathy (CSCR). Three days later, fluorescein angiography (FA) revealed fluorescein leakage, and indocyanine green angiography (ICGA) showed hypofluorescence over the lesion. Persistent ellipsoid zone loss as spontaneously resolved subretinal fluid was noted at the same time with SD-OCT. Laboratory examination disclosed positive rapid plasma reagin and Treponema pallidum particle agglutination tests (titer >1:1280), which confirmed the diagnosis of ocular syphilis. Acute syphilitic posterior placoid chorioretinopathy (ASPPC) could mimic CSCR with spontaneously resolved subretinal fluid observed in SD-OCT images. The acute loss of the ellipsoid zone, mismatched results from SD-OCT and FA, and picture of retinitis can also provide hints for differentiating the two diseases. |
topic |
Central serous chorioretinopathy fluorescein angiography ocular syphilis spectral-domain optical coherence tomography |
url |
http://www.e-tjo.org/article.asp?issn=2211-5056;year=2018;volume=8;issue=3;spage=176;epage=178;aulast=Huang |
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