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Br J Ophthalmol 2002;86:930-931 doi:10.1136/bjo.86.8.930-a
  • Letter

Bilateral anterior uveitis as a presenting manifestation of sarcoidosis and syphilis

  1. D Díaz-Valle1,
  2. N Toledano1,
  3. R Miguélez2,
  4. J M Benítez del Castillo3,
  5. C Barros4
  1. 1Cornea and Ocular Inflammation Unit, Department of Ophthalmology, Hospital General de Móstoles, Madrid, Spain
  2. 2Department of Rheumatology, Hospital General de Móstoles, Madrid, Spain
  3. 3Cornea and Ocular Inflammation Unit, Department of Ophthalmology, Hospital Clínico San Carlos, Madrid, Spain
  4. 4Department of Internal Medicine, Hospital General de Móstoles, Madrid, Spain
  1. Correspondence to: David Díaz-Valle, MD, PhD, Navahermosa 5, 2-A, 28230 Las Rozas, Madrid, Spain; ddiazval{at}nacom.es
  • Accepted 5 February 2002

We report an unusual case of bilateral acute anterior uveitis in an asymptomatic patient in which ophthalmic examination and laboratory tests showed the diagnosis of syphilis and sarcoidosis.

Case report

A previously healthy 34 year old Hispanic woman with a 2 week history of blurred vision was referred for evaluation. The patient had no systemic complaints. On examination her best corrected visual acuity was 20/30 in the right eye and 20/40 in the left. Slit lamp examination showed bilateral findings of moderate (2+) anterior chamber cells and non-granulomatous keratic precipitates (Fig 1). Fundus examination did not show any signs of vascular, retinal, or choroidal disease and a diagnosis of bilateral acute anterior uveitis was made. Treatment with topical prednisolone acetate and cyclopentolate drops resulted in mild …

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