Visual loss resulting from immunosuppressive therapy in patients with syphilitic uveitis

Arquivos Brasileiros de Oftalmologia

Vivian Cristina Costa Afonso¹  Heloisa Nascimento¹  Rubens M. Belfort¹  Emilia Inoue Sato¹  Cristina Muccioli¹  Rubens Belfort Jr.¹ 

关键词: Syphilis;    Uveitis/drug therapy;    Immunosuppressive agents/therapeutic use;    Immunosuppressive agents/adverse effects;    Vision disorders/etiology;    Case reports;    Sífilis;    Uveítes/quimioterapia;    Imunossupressores/uso terapêutico;    Imunossupressores/efeitos adversos;    Transtornos da visão/etiologia;    Relatos de casos;   

DOI  :  10.5935/0004-2749.20150047

来源: SciELO

【 摘 要 】

ABSTRACT Permanent visual loss can be caused by improper use of immunosuppressive therapy in cases of uveitis without differential diagnosis of syphilitic uveitis. We present four cases of syphilitic uveitis that were incorrectly diagnosed as being secondary to rheumatic diseases and were subsequently treated with immunosuppressive therapy, leading to permanent visual loss. These cases highlight the importance of ruling out syphilis in the differential diagnosis of inflammatory ocular diseases before starting use of immunosuppressive therapy.

【 授权许可】

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