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Bilateral nodular sclerokeratitis secondary to syphilis - A case report
Author(s) -
Shubhi Goel,
Arjun Desai,
Pranita Sahay,
Prafulla K. Maharana,
Namrata Sharma,
Jeewan S Titiyal
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_2051_19
Subject(s) - medicine , syphilis , penicillin , trunk , surgery , dermatology , scleritis , ophthalmology , antibiotics , uveitis , family medicine , human immunodeficiency virus (hiv) , microbiology and biotechnology , biology , ecology
A 30-year-old female patient presented with bilateral anterior nodular sclerokeratitis and multiple erythematous skin lesions involving the face, trunk, arms, and legs. The patient had a history of temporary relief with steroids, however the lesions recurred. A dermatology consultation was sought and the patient was diagnosed to have syphilis, consequent to which she was started on benzathine penicillin and showed a dramatic improvement in both skin and ocular lesions. A high index of suspicion for syphilis should be kept in mind for patients presenting with nodular scleritis to initiate timely and appropriate management with penicillin.

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