Differential diagnosis of optic neuritis in a patient with ankylosing spondylitis

被引:0
作者
Simone Appenzeller
Gláucio R. Werner de Castro
Percival D. Sampaio-Barros
Zoraida Sachetto
Adil M. Samara
Sandra Regina M. Fernandes
机构
[1] State University of Campinas Faculty of Medical Sciences,Rheumatology Unit, Department of Internal Medicine
[2] Faculdade de Ciências Médicas,Disciplina de Reumatologia, Departamento de Clínica Médica
[3] Universidade Estadual de Campinas (UNICAMP),undefined
来源
Rheumatology International | 2004年 / 24卷
关键词
Ankylosing spondylitis; Optic neuritis; Tertiary syphilis;
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摘要
The authors report a 38-year-old white man with ankylosing spondylitis (AS) who presented with recurrent ischaemic optic neuritis. The initial diagnosis was of multiple sclerosis, but further investigation showed serology and cerebrospinal fluid culture positive for syphilis. After treatment for tertiary syphilis with penicillin, there was complete remission of the ocular symptoms. This case illustrates the differential diagnosis of optic neuritis in AS and supports the relevance of investigating infectious diseases in the management of ischaemic optic neuritis.
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页码:247 / 249
页数:2
相关论文
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