SOLVED269

Which one of the following statements is TRUE regarding neurosyphilis? Neurosyphilis occurs only in persons with late latent syphilis Neurosyphilis occurs only in persons with early latent syphilis Neurosyphilis can occur in persons with early or late latent syphilis, but not with secondary syphilis Neurosyphilis can occur in persons with secondary, early latent, or late latent syphilis OCULAR SYPHILIS The uvea includes three structures: iris, ciliary body, and choroid Figure 17. Normal Eye Anatomy Since T. pallidum can potentially infect any part of the eye, a broad range of symptoms and manifestations associated with ocular syphilis may occur with or without neurosyphilis.[32,33,34] Ocular syphilis can develop at any stage of syphilis and can cause acute or chronic symptoms.[33] Although ocular syphilis can involve virtually any region of the eye, the most common clinical presentation is uveitis—anterior, posterior, or panuveitis (Figure 17).[33,34] Other described manifestations include lid involvement, episcleritis, vitritis, papillitis, interstitial keratitis, retinitis, and optic neuritis.[33] The clinical presentation of ocular syphilis can have significant overlap with other infectious and noninfectious eye diseases. Persons with syphilis who have ocular complaints should have a complete cranial nerve evaluation and receive a referral to an ophthalmologist for an immediate evaluation.[26] In addition,
SCIENCE
HEALTH SCIENCE
NURSING

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