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Visual loss resulting from immunosuppressive therapy in patients with syphilitic uveitis

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posted on 2018-09-19, 02:59 authored by Vivian Cristina Costa Afonso, Heloisa Nascimento, Rubens M. Belfort, Emilia Inoue Sato, Cristina Muccioli, Rubens Belfort Jr.

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.

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    Arquivos Brasileiros de Oftalmologia

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