ROBERT J. MASI, M.D.; G. RICHARD O'CONNOR, M.D.
To the editor: We have read with interest the recent correspondence (1) reporting a presumptive anterior uveitis without apparent retinochoroiditis in acquired toxoplasmosis.
Although there is now little doubt that the acquired disease can result in a retinochoroiditis (2-4), an isolated anterior uveitis caused by toxoplasmosis remains speculative. The anterior chamber reaction that commonly accompanies the retinochoroiditis observed in both congenital and acquired toxoplasmosis is thought to represent a "spillover" phenomenon, that is, a hypersensitivity reaction in the anterior uvea (iris and ciliary body) to an antigenic insult in the posterior segment (5). This reaction has been experimentally produced in
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MASI RJ, O'CONNOR GR. Toxoplasma Uveitis Without Retinochoroiditis?. Ann Intern Med. 1979;91:793–794. doi: 10.7326/0003-4819-91-5-793_4
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Published: Ann Intern Med. 1979;91(5):793-794.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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