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Richard Casey, MD; Charles W. Flowers, Jr, MD; David D. Jones, MS; Lanita Scott, MD
Los Angeles, Calif

Arch Ophthalmol. 1996;114(8):1015-1016.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Syphilis is a sexually transmitted disease that is commonly referred to as the "great imitator" because of its ability to mimic a variety of systemic and ocular diseases. This elusive characteristic of syphilis has often led to a delay in diagnosis or an incorrect diagnosis, particularly with respect to ocular manifestations. Ocular involvement in syphilis usually occurs in the secondary or tertiary stages of the disease; it is typically manifested as a nonspecific inflammatory response.¹ A frequently overlooked ocular manifestation of syphilis is scleritis. When present in isolation, syphilitic scleritis often produces a diagnostic dilemma. We describe a patient with ocular syphilis who displayed the symptoms of isolated, anterior nodular scleritis when first seen.

Report of a Case.

We examined a 67-year-old woman at a community health fair; she complained of pain in her right eye, which she had experienced for several weeks. We referred her to the General . . . [Full Text PDF of this Article]

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