Isolated tongue manifestations of secondary syphilis in an adolescent patient

Sánchez López, J.D.; Hernández Vila, C.; Martínez-Sahuquillo Rico, A.

doi:10.1016/j.rceng.2019.07.016

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Sánchez López, C. Hernández Vila, A. Martínez-Sahuquillo Rico" "autores" => array:3 [ 0 => array:4 [ "nombre" => "J.D." "apellidos" => "Sánchez López" "email" => array:1 [ 0 => "josed.sanchez.sspa@juntadeandalucia.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Hernández Vila" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Martínez-Sahuquillo Rico" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Oral y Maxilofacial, Centro de Rehabilitación y Neurotraumatología, Hospital Universitario Virgen de las Nieves, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Manifestaciones linguales aisladas de sífilis secundaria en un paciente adolescente" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2037 "Ancho" => 1518 "Tamanyo" => 281065 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "We present the case of an 18-year-old patient who was admitted for presenting burning mouth and dysgeusia that started 4 weeks earlier, progressing in a few days to glossodynia and sore throat. In the anamnesis, we determined that the patient engaged in unprotected oral and anogenital sexual contact 2 months prior to the onset of the symptoms. The clinical examination revealed as the only finding the presence of macroglossia and superficial depapillated erosions (shown in the circle) surrounded by painful hyperkeratotic halos (blue arrow) on the dorsal side of the tongue, following the classical pattern of plaques en prairie fauchée (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) but no other signs such as skin lesions and cervical adenopathies. Based on suspected secondary syphilis, we performed serological tests that showed positivity for the Venereal Disease Research Laboratory test and treponema pallidum hemagglutination test and reactivity for immunoglobulins IgG and IgM, which confirmed the diagnosis without needing to perform a biopsy. Treatment was started with intramuscular penicillin G benzathine at doses of 2.4 million units for 4 consecutive weeks, obtaining full remission of the lesions. Given the current increase in syphilis in adolescents engaging in risky unprotected sexual practices, recognizing the presence of syphilis in the form of intraoral lesions (in the absence of other findings) represents an effective means for clinical diagnosing the condition to prevent the disease’s progression, despite its exceptional nature.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-07-13" "fechaAceptado" => "2019-07-28" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Sánchez López JD, Hernández Vila C, Martínez-Sahuquillo Rico A. Manifestaciones linguales aisladas de sífilis secundaria en un paciente adolescente. Rev Clin Esp. 2021;221:369." ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2037 "Ancho" => 1518 "Tamanyo" => 281065 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022100000006/v2_202106050640/S2254887419302395/v2_202106050640/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022100000006/v2_202106050640/S2254887419302395/v2_202106050640/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419302395?idApp=WRCEE"]

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Vol. 221. Issue 6.

Pages 369 (June - July 2021)

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