Abstract

Syphilis is a great mimicker of diseases and has a broad presentation ranging from painless chancre, constitutional symptoms, adenopathy, rash, synovitis, neurological, and ocular findings. Syphilis-related bone and joint involvement is usually found in congenital form, but it can also be seen in adults with acquired syphilis as a rare sequela of infectious syphilis. We report a case of a patient diagnosed as rheumatoid arthritis, who presented to the ophthalmology outpatient department with an acute onset of black spots in his visual field, whose clinical examination was a diagnostic dilemma, for which the patient underwent extensive investigations and was diagnosed to have syphilitic uveitis. In hindsight, it was concluded that the patient was suffering from reactive arthritis due to syphilis.

Keywords

Publication details

DOI
10.4103/ojo.ojo_183_25
Journal
Oman Journal of Ophthalmology, 19(1), 148-154
Publisher
Medknow Publications
Open access
Gold open access

Cite this article

APA 7

Jacob, A. A., & Neil, J. (2026). "Ocular syphilis with reactive arthritis mimicking rheumatoid arthritis" - A diagnostic dilemma, case report, and review of literature. Oman Journal of Ophthalmology, 19(1), 148-154. https://doi.org/10.4103/ojo.ojo_183_25

MLA 9

Jacob, Asha Anne, and Jacob Neil. ""Ocular syphilis with reactive arthritis mimicking rheumatoid arthritis" - A diagnostic dilemma, case report, and review of literature." Oman Journal of Ophthalmology, vol. 19, no. 1, 2026, pp. 148-154. https://doi.org/10.4103/ojo.ojo_183_25.

Chicago (author–date)

Jacob, Asha Anne, and Jacob Neil. 2026. ""Ocular syphilis with reactive arthritis mimicking rheumatoid arthritis" - A diagnostic dilemma, case report, and review of literature." Oman Journal of Ophthalmology 19 (1): 148-154. https://doi.org/10.4103/ojo.ojo_183_25.

Harvard

Jacob, A. A. and Neil, J. (2026) '"Ocular syphilis with reactive arthritis mimicking rheumatoid arthritis" - A diagnostic dilemma, case report, and review of literature', Oman Journal of Ophthalmology, 19(1), pp. 148-154. doi:10.4103/ojo.ojo_183_25.

Vancouver

Jacob AA, Neil J. "Ocular syphilis with reactive arthritis mimicking rheumatoid arthritis" - A diagnostic dilemma, case report, and review of literature. Oman Journal of Ophthalmology. 2026;19(1):148-154. doi:10.4103/ojo.ojo_183_25

IEEE

A. A. Jacob, and J. Neil, ""Ocular syphilis with reactive arthritis mimicking rheumatoid arthritis" - A diagnostic dilemma, case report, and review of literature," Oman Journal of Ophthalmology, vol. 19, no. 1, pp. 148-154, 2026, doi: 10.4103/ojo.ojo_183_25.