Secondary Syphilis.
Fiona Spencer, Michael Taggart
✦ AI-curated · Sources linked
Case in brief
A 46-year-old man presented with two months of progressive, painful visual loss. Examination showed bilateral panuveitis alongside widespread ulcerative skin lesions and alopecia. Treponemal antibody testing was positive, and the rapid plasma reagin titre was 1:2048. Together, these findings were consistent with severe secondary syphilis in an otherwise immunocompetent patient. The abstract does not report treatment or clinical resolution.
What made this case unusual
Severe secondary syphilis presented with bilateral panuveitis and progressive painful visual loss in an otherwise immunocompetent patient.
Diagnostic / clinical pearl
In a patient with panuveitis and compatible skin or hair findings, include syphilis in the diagnostic assessment and interpret serology alongside the clinical presentation.