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Oral manifestations of secondary syphilis in the elderly - a timely reminder for dentists.
Aust Dent J. 2013 Sep; 58(3):368-70.AD

Abstract

Syphilis is a sexually transmitted infectious disease caused by Treponema pallidum. Cases of syphilis have increased in frequency and are challenging when affecting the elderly. The main causes of increased prevalence of syphilis are sexual promiscuity, lack of knowledge about the disease and decreasing use of barrier protection. Clinically, the oral manifestation of syphilis may resemble other entities, which hampers the correct diagnosis. We report a case of a 79-year-old male with weight loss and feeding difficulties. In the oral cavity there were ulcerative lesions in the hard palate and bilaterally in the buccal mucosa. The incisional biopsy revealed only a non-specific ulceration of the oral mucosa. After 20 days, the patient was re-evaluated and presented maculopapular lesions in the palmar and plantar areas. Positive serological venereal disease reference laboratory (VDRL) tests confirmed the diagnosis of secondary syphilis. The patient was treated with Benzathine penicillin G. After two weeks of treatment the oral lesion disappeared and the patient returned to normal feeding and gained weight. This case report reinforces the need to alert physicians and dentists to include sexually transmitted infections such as syphilis in the differential diagnosis of oral ulcerative lesions in elderly sexually active patients.

Authors+Show Affiliations

Department of Dermatology and Radiotherapy, Botucatu School of Medicine, São Paulo State University, Botucatu, SP, Brazil. eminicucci@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23981220

Citation

Minicucci, E M., et al. "Oral Manifestations of Secondary Syphilis in the Elderly - a Timely Reminder for Dentists." Australian Dental Journal, vol. 58, no. 3, 2013, pp. 368-70.
Minicucci EM, Vieira RA, Oliveira DT, et al. Oral manifestations of secondary syphilis in the elderly - a timely reminder for dentists. Aust Dent J. 2013;58(3):368-70.
Minicucci, E. M., Vieira, R. A., Oliveira, D. T., & Marques, S. A. (2013). Oral manifestations of secondary syphilis in the elderly - a timely reminder for dentists. Australian Dental Journal, 58(3), 368-70. https://doi.org/10.1111/adj.12085
Minicucci EM, et al. Oral Manifestations of Secondary Syphilis in the Elderly - a Timely Reminder for Dentists. Aust Dent J. 2013;58(3):368-70. PubMed PMID: 23981220.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Oral manifestations of secondary syphilis in the elderly - a timely reminder for dentists. AU - Minicucci,E M, AU - Vieira,R A, AU - Oliveira,D T, AU - Marques,S A, Y1 - 2013/07/24/ PY - 2012/06/22/received PY - 2012/11/12/revised PY - 2012/11/13/accepted PY - 2013/8/29/entrez PY - 2013/8/29/pubmed PY - 2014/3/29/medline KW - Oral cavity KW - elderly KW - secondary syphilis SP - 368 EP - 70 JF - Australian dental journal JO - Aust Dent J VL - 58 IS - 3 N2 - Syphilis is a sexually transmitted infectious disease caused by Treponema pallidum. Cases of syphilis have increased in frequency and are challenging when affecting the elderly. The main causes of increased prevalence of syphilis are sexual promiscuity, lack of knowledge about the disease and decreasing use of barrier protection. Clinically, the oral manifestation of syphilis may resemble other entities, which hampers the correct diagnosis. We report a case of a 79-year-old male with weight loss and feeding difficulties. In the oral cavity there were ulcerative lesions in the hard palate and bilaterally in the buccal mucosa. The incisional biopsy revealed only a non-specific ulceration of the oral mucosa. After 20 days, the patient was re-evaluated and presented maculopapular lesions in the palmar and plantar areas. Positive serological venereal disease reference laboratory (VDRL) tests confirmed the diagnosis of secondary syphilis. The patient was treated with Benzathine penicillin G. After two weeks of treatment the oral lesion disappeared and the patient returned to normal feeding and gained weight. This case report reinforces the need to alert physicians and dentists to include sexually transmitted infections such as syphilis in the differential diagnosis of oral ulcerative lesions in elderly sexually active patients. SN - 1834-7819 UR - https://www.unboundmedicine.com/medline/citation/23981220/Oral_manifestations_of_secondary_syphilis_in_the_elderly___a_timely_reminder_for_dentists_ L2 - https://doi.org/10.1111/adj.12085 DB - PRIME DP - Unbound Medicine ER -