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Secondary syphilis with ocular manifestations in older adults.

Maves RC, Cachay ER, Young MA, Fierer J

United States Naval Medical Research Center Detachment, Lima, Peru. Ryan.Maves@med.navy.mil

We describe 4 patients (age, >50 years) with secondary syphilis. All patients presented with ocular syphilis, and 2 presented with syphilis-negative rapid plasma reagin titers due to a prozone phenomenon. Three male patients reported sildenafil use. The presentation of these patients with ocular syphilis suggests the need for additional clinical studies involving older patients.

Published 10 June 2008 in Clin Infect Dis, 46(12): e142-5.
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