Late Syphilis With Rare Orbital Gumma

Sniderman, Harold R.

doi:10.1001/archderm.1940.01490160019003

Cited by 1 publication

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients generally present with loss of vision, eye pain, floaters, and photophobia [2]. Orbital involvement is rare and characterized by gumma within the orbit, extraocular muscle, or lacrimal gland and the presence of periostitis [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

Hard bilateral syphilitic testes with vasculitis: a case report and literature review

et al. 2021

View full text Add to dashboard Cite

Background We report the case of a patient with syphilitic testicular gumma and vasculitis with adrenal failure due to chronic steroid use. Case presentation A 63-year-old male presented with hard right eye swelling and very firm bilateral testes on palpation, which he had for 2 years. Testicular tumor markers were negative; syphilis test was positive. Radiological examination suggested aortitis and bilateral testicular malignancy. The patient received ampicillin for the infection and prednisolone for vasculitis. Left orchidectomy was performed to confirm the presence of testicular tumor; histological examinations revealed granulomatous orchitis. The prednisolone doses were adjusted because of relapses and adverse effects of steroid use. Unfortunately, the patient died in the intensive care unit because of uncontrolled blood pressure and pneumonia. Conclusions This is a rare case of syphilis with testicular involvement and vasculitis. This report shows the importance of broadening the differential diagnoses of testicular firmness.

show abstract