Abstract
Syphilis, a sexually transmitted infection, has been increasing in incidence over the years, especially among the young adult population. The oral manifestation of primary syphilis is usually characterized by short evolution. In this report we present a case of an oral manifestation of a primary syphilitic lesion lasting 4 months, and we emphasize the importance of the correct diagnosis. A 22-year-old woman presented for evaluation of a growing single painful oral lesion with an evolution of 4 months. At clinical examination an extensive ulceration was observed, covered by a fibrinous membrane, located on the lateral border of the tongue extending from the apex to the base and ventral surfaces. A biopsy was performed, and serologic tests were requested. The results showed positivity for Venereal Disease Research Laboratory and fluorescent treponemal antibody absorption and antitreponema in the biopsied material, confirming the diagnosis of syphilis. Antibiotic therapy was started with total remission of the lesion.
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