Diagnosticando sífilis adquirida através de lesões orais: a experiência de 12 anos de um Centro de Medicina Oral
| العنوان: | Diagnosticando sífilis adquirida através de lesões orais: a experiência de 12 anos de um Centro de Medicina Oral |
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| المؤلفون: | Alessandro Oliveira De Jesus, Maria Cássia Ferreira de Aguiar, Renata Gonçalves Resende, Patrícia Carlos Caldeira, Michelle Danielle Porto Matias |
| المصدر: | Brazilian Journal of Otorhinolaryngology, Vol 86, Iss 3, Pp 358-363 (2020) Brazilian Journal of Otorhinolaryngology, Volume: 86, Issue: 3, Pages: 358-363, Published: 13 JUL 2020 Brazilian Journal of Otorhinolaryngology v.86 n.3 2020 Brazilian Journal of Otorhinolaryngology Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF) instacron:ABORL-CCF |
| بيانات النشر: | Elsevier, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Pediatrics, medicine.medical_specialty, Adolescent, Epidemiology, Oral lesions, Disease, 030207 dermatology & venereal diseases, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Tongue, Diagnosis, medicine, Infecção por sífilis, Humans, 030212 general & internal medicine, Syphilis, Syphilis infection, Epidemiologia, Aged, Retrospective Studies, business.industry, Medical record, Diagnóstico, Retrospective cohort study, Middle Aged, medicine.disease, Lesões orais, lcsh:Otorhinolaryngology, lcsh:RF1-547, Acquired syphilis, medicine.anatomical_structure, Otorhinolaryngology, Public hospital, Penicillin G Benzathine, Female, business, Mouth Diseases, Oral medicine |
| الوصف: | 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. Resumo Introdução: Um ressurgimento da sífilis no Brasil tem sido relatado nos últimos anos. Objetivo: Investigar a frequência, as características demográficas e clínicas dos pacientes com sífilis adquirida com envolvimento oral que receberam atendimento médico em um centro de referência em medicina oral em um hospital público brasileiro. Método: Estudo retrospectivo, abrangeu 12 anos, feito para identificar tendências de mudança na sífilis. Registros médicos de todos os pacientes diagnosticados com sífilis adquirida que receberam atendimento médico na clínica de medicina oral do hospital de 2005 a 2016 foram revisados e os dados demográficos e clínicos foram coletados. Resultados: Foram diagnosticas 85 pacientes com sífilis adquirida, com um aumento significativo no número de casos nos últimos 5 anos. A idade dos pacientes variou de 16 a 76 anos, com pico na terceira e quarta décadas; 48 casos eram do sexo masculino (56,5%) e 37 do sexo feminino (43,5%). A maioria das lesões orais apareceu como úlceras ou placas únicas, os lábios e a língua representaram os locais mais afetados. Todos os casos foram positivos para Venereal Disease Research Laboratory e Fluorescent Treponemal Antibody Absorption Test e o tratamento foi feito com penicilina G benzatina na maioria dos casos (84,7%). Conclusão: A frequência da sífilis oral tem aumentado com o tempo e as lesões orais podem representar uma pista diagnóstica; portanto, os profissionais de saúde bucal devem ser conscientizados e devidamente treinados na tentativa de desenvolver um alto grau de suspeição clínica no diagnóstico da sífilis. |
| وصف الملف: | text/html |
| اللغة: | English |
| تدمد: | 1808-8694 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::302a33d35dde4e04e33ed00d7fd46398Test http://www.sciencedirect.com/science/article/pii/S1808869418302994Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....302a33d35dde4e04e33ed00d7fd46398 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18088694 |
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