PURPOSE: To present ocular syphilis masquerading as an outer retinopathy.METHODS: Retrospective case series, including 2 patients with features of acute zonal occult outer retinopathy (AZOOR) complex diseases.RESULTS: Laboratory results confirmed the diagnosis of syphilis in the 2 cases. Therapy with intravenous penicillin led to an improvement in symptoms, visual acuity, and ancillary testing.CONCLUSIONS: The protean ophthalmic presentations of syphilis are well known. However, AZOOR-like presentation has not been described previously. This atypical outer retinopathy should alert physicians to keep syphilis in the differential diagnosis of any inflammatory disorder.
Adult Anti-Bacterial Agents