Abstract
Congenital syphilis usually presents with a constellation of systemic and ocular findings. Ocular manifestations include cataracts, glaucoma, and, during the second decade of life, interstitial keratitis. Optic atrophy, vessel attenuation, and a peripheral “salt and pepper” fundus are the usual keys to this diagnosis. The fundal picture is often mistaken for retinitis pigmentosa. Systemic findings include Hutchinson’s teeth (pointed incisors), a broad saddle nose, bowed tibias, osteochondritis, and hepatosplenomegaly.
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Selected Reading
Belin MW, Baltch AL, Hay PB (1981). Secondary syphilitic uveitis. Am J Ophthalmol 92: 210–214
Friberg TR (1989). Syphilitic chorioretinitis. Arch Ophthalmol 107: 1676–1677
Ryan SJ, Hardy PH, Hardy JM, et al (1972). Persistence of virulent Treponema pallidum despite penicillin therapy in congenital syphilis. Am J Ophthalmol 73: 258–261
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© 1993 Springer Science+Business Media New York
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Orellana, J., Friedman, A.H. (1993). Luetic Chorioretinitis. In: Clinico-Pathological Atlas of Congenital Fundus Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9320-7_8
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DOI: https://doi.org/10.1007/978-1-4613-9320-7_8
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-9322-1
Online ISBN: 978-1-4613-9320-7
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