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Diagnosing acquired syphilis through oral lesions: the 12 year experience of an Oral Medicine Center.
Braz J Otorhinolaryngol. 2020 May - Jun; 86(3):358-363.BJ

Abstract

INTRODUCTION

A resurgence of syphilis in Brazil has been reported in recent years.

OBJECTIVE

With this in mind, the present study sought to investigate the frequency, demographics, and clinical characteristics of patients with acquired syphilis with oral involvement who received medical care at an Oral Medicine Reference Center in a Brazilian Public Hospital.

METHODS

A retrospective study, spanning a period of 12 years, was performed to identify changing trends in syphilis over time. Medical records from all patients diagnosed with acquired syphilis who received medical care at the Hospital's Oral Medicine Clinic from 2005 to 2016 were reviewed, and the demographic and clinical data were collected.

RESULTS

A total of 85 patients had been diagnosed with acquired syphilis, with a significant increase in the number of cases over the past 5 years. Patients ranged from 16 to 76 years of age, with a peak in the third and fourth decades. Forty-eight cases affected males (56.5%), while 37 cases affected females (43.5%). Most of the oral lesions appeared as unique ulcers or plaques, with the lips and tongue representing the most affected sites. All cases were positive for Venereal Disease Research Laboratory or Fluorescent Treponemal Antibody Absorption, and treatment was performed with Penicillin G benzathine in most cases (84.7%).

CONCLUSION

The frequency of oral syphilis has been rising over time and oral lesions may well represent a diagnostic clue; therefore, oral health professionals must be made aware and properly trained in an attempt to develop a high degree of clinical suspicion in the diagnosis of syphilis.

Authors+Show Affiliations

Universidade Federal de Minas Gerais (UFMG), Faculdade de Odontologia, Departamento de Cirurgia Oral e Patologia Oral, Belo Horizonte, MG, Brazil.Universidade Federal de Minas Gerais (UFMG), Faculdade de Odontologia, Departamento de Cirurgia Oral e Patologia Oral, Belo Horizonte, MG, Brazil.Hospital Metropolitano Odilon Behrens, Medicina Oral, Belo Horizonte, MG, Brazil.Universidade Federal de Minas Gerais (UFMG), Faculdade de Odontologia, Departamento de Cirurgia Oral e Patologia Oral, Belo Horizonte, MG, Brazil.Universidade Federal de Minas Gerais (UFMG), Faculdade de Odontologia, Departamento de Cirurgia Oral e Patologia Oral, Belo Horizonte, MG, Brazil. Electronic address: cassiafa@ufmg.br.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30956150

Citation

Matias, Michelle Danielle Porto, et al. "Diagnosing Acquired Syphilis Through Oral Lesions: the 12 Year Experience of an Oral Medicine Center." Brazilian Journal of Otorhinolaryngology, vol. 86, no. 3, 2020, pp. 358-363.
Matias MDP, Jesus AO, Resende RG, et al. Diagnosing acquired syphilis through oral lesions: the 12 year experience of an Oral Medicine Center. Braz J Otorhinolaryngol. 2020;86(3):358-363.
Matias, M. D. P., Jesus, A. O., Resende, R. G., Caldeira, P. C., & Aguiar, M. C. F. (2020). Diagnosing acquired syphilis through oral lesions: the 12 year experience of an Oral Medicine Center. Brazilian Journal of Otorhinolaryngology, 86(3), 358-363. https://doi.org/10.1016/j.bjorl.2018.12.010
Matias MDP, et al. Diagnosing Acquired Syphilis Through Oral Lesions: the 12 Year Experience of an Oral Medicine Center. Braz J Otorhinolaryngol. 2020 May - Jun;86(3):358-363. PubMed PMID: 30956150.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosing acquired syphilis through oral lesions: the 12 year experience of an Oral Medicine Center. AU - Matias,Michelle Danielle Porto, AU - Jesus,Alessandro Oliveira de, AU - Resende,Renata Gonçalves, AU - Caldeira,Patrícia Carlos, AU - Aguiar,Maria Cássia Ferreira de, Y1 - 2019/02/23/ PY - 2018/05/28/received PY - 2018/11/29/revised PY - 2018/12/19/accepted PY - 2019/4/9/pubmed PY - 2020/6/24/medline PY - 2019/4/9/entrez KW - Diagnosis KW - Diagnóstico KW - Epidemiologia KW - Epidemiology KW - Infecção por sífilis KW - Lesões orais KW - Oral lesions KW - Syphilis infection SP - 358 EP - 363 JF - Brazilian journal of otorhinolaryngology JO - Braz J Otorhinolaryngol VL - 86 IS - 3 N2 - INTRODUCTION: A resurgence of syphilis in Brazil has been reported in recent years. OBJECTIVE: With this in mind, the present study sought to investigate the frequency, demographics, and clinical characteristics of patients with acquired syphilis with oral involvement who received medical care at an Oral Medicine Reference Center in a Brazilian Public Hospital. METHODS: A retrospective study, spanning a period of 12 years, was performed to identify changing trends in syphilis over time. Medical records from all patients diagnosed with acquired syphilis who received medical care at the Hospital's Oral Medicine Clinic from 2005 to 2016 were reviewed, and the demographic and clinical data were collected. RESULTS: A total of 85 patients had been diagnosed with acquired syphilis, with a significant increase in the number of cases over the past 5 years. Patients ranged from 16 to 76 years of age, with a peak in the third and fourth decades. Forty-eight cases affected males (56.5%), while 37 cases affected females (43.5%). Most of the oral lesions appeared as unique ulcers or plaques, with the lips and tongue representing the most affected sites. All cases were positive for Venereal Disease Research Laboratory or Fluorescent Treponemal Antibody Absorption, and treatment was performed with Penicillin G benzathine in most cases (84.7%). CONCLUSION: The frequency of oral syphilis has been rising over time and oral lesions may well represent a diagnostic clue; therefore, oral health professionals must be made aware and properly trained in an attempt to develop a high degree of clinical suspicion in the diagnosis of syphilis. SN - 1808-8686 UR - https://www.unboundmedicine.com/medline/citation/30956150/Diagnosing_acquired_syphilis_through_oral_lesions:_the_12_year_experience_of_an_Oral_Medicine_Center_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1808-8694(18)30299-4 DB - PRIME DP - Unbound Medicine ER -