Human Immunodeficiency Virus-Related Uveomyelitis

The association of uveitis and neurologic disease in patients with the acquired immunodeficiency syndrome (AIDS) is not uncommon. Usually, it is due to an easily recognizable simultaneous opportunistic infection or neoplasm of the eye and nervous system. We describe herein a patient with AIDS, uveitis, myelitis, and a moderate degree of immunosuppression in whom no secondary cause could be found and whose disease was presumably due directly to the human immunodeficiency virus (HIV). Report of a Case. A 44-year-old homosexual man was referred to the eye clinic in August 1993 with gait disturbance and blurred vision of 2 months' duration. In 1985 he was treated for syphilis, in 1989 for herpes zoster ophthalmicus in the left eye, and in 1990 for left lumbar (L1-2) zoster, all of which resolved without neurologic sequelae. The patient was not known to have had positive test results for HIV and was taking no medications.