Secondary Syphilis Presenting as Glossodynia, Plaques en Prairie Fauchée, and a Split Papule at the Oral Commissure: Case Report and Review
Joint Authors
da Silva, Guilherme Almeida Rosa
Silva, Walter de Araujo Eyer
Ferry, Fernando Raphael de Almeida
Pinto, Jorge Francisco da Cunha
Freire, Maria Alessandra Leite
Horta-Araujo, Cecília Angelina
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-12
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Syphilis has been coined “the great imitator” due to its extreme heterogeneity of presentation and mimicry of other conditions.
Therefore, it is essential that physicians be familiar with the full spectrum of its manifestations.
Syphilis may also lead to oral lesions that, occasionally, are unaccompanied by concomitant tegumentary findings.
Such patients will pose unique diagnostic challenges.
We report the case of a 45-year-old HIV-infected male patient in whom secondary syphilis presented with burning mouth and dysgeusia that progressed to glossodynia and odynophagia.
Examination revealed painful, shallow erosions on the posterior aspect of the tongue, in a pattern of plaques en prairie fauchée.
A painful split papule (fausse perlèche or false angular cheilitis) was also present in the left commissure.
There were no cutaneous lesions.
The oral lesions were considered highly suggestive of secondary syphilis.
A novel VDRL assay (which was previously negative) yielded a titer of 1/128.
Complete clinical remission was rapidly achieved after initiation of penicillin therapy.
A comprehensive review of the literature on oral manifestations of syphilis is offered.
American Psychological Association (APA)
Silva, Walter de Araujo Eyer& Freire, Maria Alessandra Leite& Horta-Araujo, Cecília Angelina& da Silva, Guilherme Almeida Rosa& Pinto, Jorge Francisco da Cunha& Ferry, Fernando Raphael de Almeida. 2017. Secondary Syphilis Presenting as Glossodynia, Plaques en Prairie Fauchée, and a Split Papule at the Oral Commissure: Case Report and Review. Case Reports in Medicine،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1146596
Modern Language Association (MLA)
Silva, Walter de Araujo Eyer…[et al.]. Secondary Syphilis Presenting as Glossodynia, Plaques en Prairie Fauchée, and a Split Papule at the Oral Commissure: Case Report and Review. Case Reports in Medicine No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1146596
American Medical Association (AMA)
Silva, Walter de Araujo Eyer& Freire, Maria Alessandra Leite& Horta-Araujo, Cecília Angelina& da Silva, Guilherme Almeida Rosa& Pinto, Jorge Francisco da Cunha& Ferry, Fernando Raphael de Almeida. Secondary Syphilis Presenting as Glossodynia, Plaques en Prairie Fauchée, and a Split Papule at the Oral Commissure: Case Report and Review. Case Reports in Medicine. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1146596
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146596