Evidence map›Paper›PMID 32676271›Full record

ArticleGMS ophthalmology cases2020

Spontaneous resolution of acute syphilitic posterior placoid chorioretinitis: reappraisal of the literature and pathogenetic insights.

Giuseppe Casalino, Stefano Erba, Vasuki Sivagnanavel, Shervin Lari, Antonio Scialdone, Carlos Pavesio

Open access · greenAbstract readCase Reports
In one paragraph

Article in GMS ophthalmology cases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Giuseppe CasalinoOftalmico Hospital, ASST Fatebenefratelli Sacco, Milano, Italy.
Stefano ErbaOftalmico Hospital, ASST Fatebenefratelli Sacco, Milano, Italy.
Vasuki SivagnanavelRoyal Eye Unit, Kingston Hospital NHS Foundation Trust, London, UK.
Shervin LariRoyal Eye Unit, Kingston Hospital NHS Foundation Trust, London, UK.
Antonio ScialdoneOftalmico Hospital, ASST Fatebenefratelli Sacco, Milano, Italy.
Carlos PavesioMoorfields Eye Hospital NHS Foundation Trust, London, UK.
ASST Fatebenefratelli Sacco · ITKingston Hospital · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute syphilitic posterior placoid chorioretinitis (ASPPC) is a rare clinical manifestation of ocular syphilis. Spontaneous resolution of this condition has been reported in a few cases. The aim of this manuscript is to report an additional case and to discuss the possible pathogenesis of this condition by reviewing the current evidence on this subject. A 45-year-old man presented to us with decreased vision in the right eye secondary to a placoid macular lesion. Fourteen days after presentation, there was a dramatic improvement of the vision, and multimodal retinal imaging showed almost complete spontaneous resolution of the placoid lesion. Syphilis serology turned out positive and a diagnosis of ASPPC was made. The pathogenesis of ASPPC is unclear, and there is contrasting evidence about the role of the cellular immune system. Since this condition may resolve spontaneously before systemic antimicrobial treatment, the presence of a placoid macular lesion should raise a high suspicion of ASPPC in order to make a timely diagnosis and to avoid progression of untreated syphilis.

Indexed as

acute syphilitic posterior placoid chorioretinitisnatural coursepathogenesisretinal imagingsyphilis

Identifiers

PMID32676271
PMCPMC7332998
OpenAlexW3042912138

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.