ORAL MANIFESTATION OF SECONDARY SYPHILIS - A CASE REPORT

Abstract

This study aims to report a case of secondary syphilis with oral manifestations in a 30-year-old, Caucasian, female patient, with multiple lesions in the mouth that did not heal after 15 days. During anamnesis, the patient reported unprotected sexual intercourse and vaginal discharge. In the intraoral clinical examination, we observed whitish mucous plaques not removed by scraping with a "velvety" appearance located on the lingual edge of the right side and hard palate, with no painful symptoms. With a diagnostic hypothesis of syphilis in the secondary phase, two complementary tests were requested, VDRL and FTA-ABs, which presented a positive result, confirming the diagnosis of syphilis. Three weeks after the antibiotic treatment, the patient returned with no signs of lesions. It is important to highlight the role of the dental surgeon in the diagnosis of systemic diseases with oral manifestations, including cases of sexually transmitted diseases, such as syphilis. This study aims to report a case of secondary syphilis with oral manifestations in a 30-year-old, Caucasian, female patient, with multiple lesions in the mouth that did not heal after 15 days. During anamnesis, the patient reported unprotected sexual intercourse and vaginal discharge. In the intraoral clinical examination, we observed whitish mucous plaques not removed by scraping with a "velvety" appearance located on the lingual edge of the right side and hard palate, with no painful symptoms. With a diagnostic hypothesis of syphilis in the secondary phase, two complementary tests were requested, VDRL and FTA-ABs, which presented a positive result, confirming the diagnosis of syphilis. Three weeks after the antibiotic treatment, the patient returned with no signs of lesions. It is important to highlight the role of the dental surgeon in the diagnosis of systemic diseases with oral manifestations, including cases of sexually transmitted diseases, such as syphilis.