ArticleCureus2025
Syphilis Uveitis: A Case of Occam's Razor, Hickam's Dictum, and Crabtree's Bludgeon.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
This report discusses a case of diagnosing neurosyphilis in a non-classical presentation with confounding test results needing a deliberate and multidisciplinary diagnostic approach. A 38-year-old immunocompetent male presented with uveitis and a skin rash. Although serology was positive for syphilis (rapid plasma reagin 1:128), it was also positive for tuberculosis, and a dermatology consult identified the rash as psoriasis, creating a complex diagnostic picture. Based on a high suspicion of ocular syphilis, the patient received intravenous penicillin, which led to the complete resolution of his ocular symptoms and a serologically confirmed cure. This case of an ophthalmic masquerading disease was complicated by misleading clinical signs and a coexisting positive serology, serving as a reminder to maintain a broad differential diagnosis and be systematic in workup and management in order to optimize clinical outcomes.
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