Acute Syphilitic Posterior Placoid Chorioretinitis; a Case Report and Review

Background: Acute syphilitic posterior placoid chorioretinopathy (ASPPC) is a rare but defining characteristic of ocular syphilis. Clinical findings are subtle, geographic, yellowish, macular lesions, affecting the outer-retina and inner choroid, often associated with subretinal fluid in early phase. This case report will review clinical signs ASPPC to aid practitioner identification recognition its importance as it relates diagnosis, treatment, prognosis. Case Report: A 79-year-old African American male presented clinic chief complaint blur right eye for prior two days. Spectral Domain Optical Coherence Tomography (SD-OCT) macula revealed shallow retinal pigment epithelial detachment centrally some loss epithelium (RPE) photoreceptors nasally eye. There was rapid progression over week full RPE reduction vision hand motion eye, suggesting an infectious etiology. Serologic testing ordered, RPR FTA-ABS were both reactive. diagnosis acute made. An disease physician treated patient IV penicillin G. complete resolution findings. Conclusion: Syphilis should be considered any inflammatory condition. highly suggestive All patients syphilis evaluated neurosyphilis. Treatment G 10-14 days successful when there four-fold titers. Full visual recovery typically occurs within 12 weeks treatment if initiated course disease.