Oral Syphilis: a retrospective analysis of 12 cases and a review of the literature

Leuci, Stefania; Martina, Stefano; Adamo, Daniela; Ruoppo, Elvira; Santarelli, Andrea; Sorrentino, R.; Favia, G; Mignogna, Michele Davide

doi:10.1111/odi.12058

Cited by 88 publications

(125 citation statements)

References 53 publications

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“…In particular, tongues were shown to be affected in 37% of cases, while the prevalence of the atrophic conditions is not clear [93]. …”

Section: Resultsmentioning

confidence: 99%

Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review

Erriu¹,

Pili²,

Cadoni³

et al. 2016

TODENTJ

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Atrophic glossitis is a condition characterised by absence of filiform or fungiform papillae on the dorsal surface of the tongue. Consequently, the ordinary texture and appearance of the dorsal tongue, determined by papillary protrusion, turns into a soft and smooth aspect.Throughout the years, many factors, both local and systemic, have been associated with atrophic glossitis as the tongue is currently considered to be a mirror of general health. Moreover, various tongue conditions were wrongly diagnosed as atrophic glossitis. Oral involvement can conceal underlying systemic conditions and, in this perspective, the role of clinicians is fundamental.Early recognition of oral signs and symptoms, through a careful examination of oral anatomical structures, plays a crucial role in providing patients with a better prognosis.

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“…In particular, tongues were shown to be affected in 37% of cases, while the prevalence of the atrophic conditions is not clear [93]. …”

Section: Resultsmentioning

confidence: 99%

Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review

Erriu¹,

Pili²,

Cadoni³

et al. 2016

TODENTJ

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“…La sífilis primaria puede observarse en la cavidad oral, y se ha asociado con el sexo oral [10,11]. El chancro de inoculación de la sífilis primaria puede ocurrir en la boca y región perioral pero es infrecuente (sólo 8 % de los casos) [12][13][14][15]. Aunque las lesiones orales pueden manifestarse en todas las etapas se asocian principalmente con la sífilis secundaria.…”

Section: Palabrasunclassified

Manifestaciones orales de la sífilis. Caso clínico

et al. 2017

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“…A manifestação desta doença é um reflexo da diminuição do uso de métodos contraceptivos, número elevado de parceiros sexuais e realização de sexo oral sem proteção 1 . Existem dois tipos de sífilis: a congênita e a adquirida.…”

Section: Introductionunclassified

“…Existem dois tipos de sífilis: a congênita e a adquirida. O primeiro tipo é transmitido verticalmente pela disseminação transplacentária, ao passo que a adquirida, é sexualmente transmitida 1 . A doença adquirida pode ser classificada em quatro estágios: primário, secundário, latente e terciário.…”

Section: Introductionunclassified

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Sífilis secundária em gestante: relato de caso

Wastner¹,

Melzer²,

Nascimento³

et al. 2017

Arch Health Invest

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ResumoSífilis é uma doença sexualmente transmissível causada por bactérias gram-negativas do grupo das espiroquetas, Treponema pallidum. Ela pode ser congênita ou adquirida. Seus sinais e sintomas podem variar dependendo do seu estádio. Foi relatado o caso clínico de uma paciente de 25 anos que ao exame físico apresentou múltiplas placas brancas, rugosas em mucosa bucal e orofaringe, com diagnóstico após exames laboratoriais e anatomopatológico de sífilis secundária. Paciente foi encaminhada ao Serviço de Infectologia, para tratamento clínico com penicilina G benzatina. Para descartar a existência de gravidez, foi solicitado exame Beta-HCG, o qual foi negativo. A paciente foi orientada sobre educação sexual, DSTs e a evitar gravidez até liberação pelo médico infectologista, devido ao risco de o bebê ser contaminado. Porém, antes de iniciar o tratamento, enquanto aguardava a liberação da medicação, a paciente engravidou. No seu retorno com a equipe odontológica, informou aos profissionais que estava gestante de 11 semanas. Clinicamente apresentou remissão total das lesões orais. Conclui-se que, apesar de muito ser discutido acerca da necessidade de novos testes diagnósticos que sejam mais práticos, rápidos e acessíveis para facilitar a detecção da doença, torna-se essencial educar a população desde a época escolar sobre as DSTs. Descritores: Sífilis; Boca; Gravidez. AbstractSyphilis is a sexually transmitted disease caused by gram-negative bacteria of the spirochete group, Treponema pallidum. It may be congenital or acquired. Your signs and symptoms may vary depending on your stage. The clinical case of a 25-year-old female patient who on physical examination presented multiple white plaques, wrinkled in the buccal mucosa and oropharynx, with diagnosis after laboratory and anatomopathological examination of secondary syphilis. Patient was referred to the Infectology Service, for clinical treatment with benzathine penicillin G. To rule out the existence of pregnancy, Beta-HCG examination was requested, which was negative. The patient received instruction about sex education, STIs and to avoid pregnancy until released by the infectious disease physician due to the risk of the baby being contaminated. However, before beginning treatment, while awaiting the release of the medication, the patient became pregnant. On her return with the dental team, she informed the professionals that she was pregnant for 11 weeks. Clinically, the patient presented total remission of oral lesions. It is concluded that, although much is discussed about the need for new diagnostic tests that are more practical, fast and accessible to facilitate the detection of the disease, it is essential to educate the population from school time about STDs. Descriptors: Syphilis; Mouth; Pregnancy. ResumenLa sífilis es una enfermedad de transmisión sexual causada por bacterias gram-negativas del grupo de espiroquetas, Treponema pallidum. Puede ser congénita o adquirida. Sus signos y síntomas pueden variar dependiendo de su estadio. Se informará el caso...

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Oral Syphilis: a retrospective analysis of 12 cases and a review of the literature

Cited by 88 publications

References 53 publications

Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review

Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review

Manifestaciones orales de la sífilis. Caso clínico

Sífilis secundária em gestante: relato de caso

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