Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report

Chu Yen Huang, Eugene Kang, Kuan Jen Chen, Nan Kai Wang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)176-178
Number of pages3
JournalTaiwan Journal of Ophthalmology
Volume8
Issue number3
DOIs
StatePublished - 01 07 2018

Keywords

  • Central serous chorioretinopathy
  • fluorescein angiography
  • ocular syphilis
  • spectral-domain optical coherence tomography

Fingerprint

Dive into the research topics of 'Acute syphilitic posterior placoid chorioretinopathy mimicking central serous chorioretinopathy: A case report'. Together they form a unique fingerprint.

Cite this