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• W2024199084 abstract "<h3>Objective:</h3> To document the incidence and clinical features of syphilitic uveitis in patients coinfected with human immunodeficiency virus (HIV). <h3>Design:</h3> Retrospective chart review. <h3>Setting:</h3> Single tertiary uveitis referral center. <h3>Patients:</h3> The charts of HIV-infected patients with uveitis and a reactive fluorescent treponemal antibody absorption test seen between November 1983 and June 1995 were reviewed. <h3>Results:</h3> Syphilis was the most common bacterial cause of uveitis in this group. Thirteen patients (0.6% of the 2085 HIV-positive patients seen in the clinic during the study period) were dually infected. Twelve patients were male. Six patients (46%) had previously been treated for syphilis, 4 with intramuscular penicillin G benzathine only. Four patients (31%) had isolated anterior uveitis, 3 patients (23%) had anterior and intermediate uveitis, and 5 patients (38%) had panuveitis. One patient (8%) presented with optic nerve and retinal atrophy. Eight patients were treated with intravenous penicillin, 3 with intravenous and intramuscular penicillin, and 1 with intravenous ceftriaxone sodium. Of the 12 patients for whom follow-up examinations were available after treatment, ocular inflammation decreased in 11 (92%) and visual acuity improved in 8 (67%). Rapid plasma reagin titers decreased a median of 64-fold compared with pretreatment levels, and all patients with reactive cerebrospinal fluid who underwent pretreatment and posttreatment lumbar punctures normalized following therapy with intravenous antibiotics. <h3>Conclusions:</h3> Syphilis is an uncommon cause of uveitis in HIV-infected patients. Anterior uveitis is the most common ocular manifestation, but panuveitis is more common than isolated anterior uveitis. Intravenous penicillin is effective therapy." @default.
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• W2024199084 creator A5082013777 @default.
• W2024199084 date "1997-04-01" @default.
• W2024199084 modified "2023-10-01" @default.
• W2024199084 title "Syphilitic Uveitis in Human Immunodeficiency Virus—Infected Patients" @default.
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• W2024199084 doi "https://doi.org/10.1001/archopht.1997.01100150471003" @default.
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