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目的探讨梅毒性葡萄膜炎的临床特征,避免误诊误治。方法对梅毒性葡萄膜炎1例的临床资料进行回顾性分析。结果本例因左眼红痛、视力下降3 d就诊。曾误诊为左眼角膜炎、内源性眼内炎,后经眼部影像学及实验室检查发现诊断疑点,追问病史获知有冶游史,查梅毒螺旋体抗体阳性确诊为梅毒性葡萄膜炎,予正规驱梅治疗配合眼局部对症治疗后病情好转出院。随访3个月无复发,视力及眼部情况稳定。结论眼科医师应提高对梅毒性眼病的认识及鉴别诊断能力,对疑似患者,注意询问性生活史,及时行免疫学检查,避免误诊误治。
Objective To investigate the clinical features of syphilitic uveitis and avoid misdiagnosis and mistreatment. Methods One case of syphilitic uveitis was retrospectively analyzed. The results of this case because of left eye pain, visual acuity 3 d treatment. Have been misdiagnosed as left eye keratitis, endogenous endophthalmitis, after the diagnosis by the Department of eye imaging and laboratory tests suspect doubts, history of medical history was informed of the tour, check Treponema pallidum antibody positive for the diagnosis of syphilitic uveitis, to Formal drive Mei treatment with eye local symptomatic treatment improved condition after discharge. Follow-up 3 months without recurrence, visual acuity and eye conditions stable. Conclusion Ophthalmologists should improve their understanding and differential diagnosis of syphilitic eye disease, the suspected patients, pay attention to sexual history, timely immunological examination, to avoid misdiagnosis and mistreatment.