NUMERO: #20230633

Título: ORAL SYPHILIS LESIONS IN HIV-POSITIVE AND HIV-NEGATIVE PATIENTS

Nome do Apresentador: Katman Bear Toledo Sánchez

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Patologia Oral

Resumo: The clinical and histopathologic features of oral secondary syphilis are presented. One patient was HIV-positive; the other was HIV-negative.
Case 1: A 22-year-old male HIV-negative patient presented three painless, irregularly shaped whitish papules at the ventral surface of the tongue and two small pink confluent nodules in half of the hard palate.
Case 2: A 20-year-old male HIV-positive patient presented one painless yellow-whitish papula on the right lateral border of the tongue and four similar lesions on the left side. Biopsies of the tongue lesions of both patients revealed oral mucosa with marked hyperplastic epithelium and dense plasma cell infiltration of lamina propria. Plasmocites were mainly noted around the wall of blood vessels. Warthin Starry stain and Immunomarker for Treponema pallidum revealed spirochete organisms primarily located at the level of the basal layer of the epithelium. VDRL, RPR, and FTA-ABS tests were positive. Patients were treated with benzylpenicillin.

Autor 1:  Katman Bear Toledo Sánchez

E-mail 1:  [email protected]

Autor 2:   Luciano Hermios Matos Valdez

E-mail 2:  [email protected]

Autor 3 :  Hoover Alejandro Bonifaz Ramos

E-mail 3:  [email protected]

Autor 4:  Carlos Vladimir Espinoza Montes

E-mail 4:  [email protected]

Autor 5:  Wilson Alejandro Delgado Azañero

E-mail 5:  [email protected]