SECONDARY ORAL SYPHILIS IN A YOUNG PATIENT WITH NO PREVIOUS HISTORY OF RISK EXPOSURE

Abstract

An 18-year-old female patient who had a 1-year-old daughter came to us presenting a 2-week lesion that has begun as a bubble. Examination showed an asymptomatic smooth white lesion without ulcerations in lower lip mucosa and minor lesions on tongue. She was a healthy patient, had no previous lesion, and had a normal pregnancy demonstrated by her health card. Blood count had normal parameters. She reports not to have a sexually active life, and denies habits of smoking and alcoholism. After examination, autoimmune lesions were suspected. A cytopathologic scraping was performed with diagnosis of a mononuclear inflammatory process with atypical squamous cells and intense epithelial dysplasia. Incisional biopsy was performed in lower lip with histopathologic report of oral syphilis. Requested Venereal Disease Research Laboratory with reagent report and HIV-1 and -2 were both negative. She was referred to an infectious diseases sector for treatment of secondary syphilis. The lesions suffered remission in 10 days.