Abstract: Syphilis is a systemic infectious disease caused by Treponema pallidum. Recently, cases of syphilis seem to be increasing, including the oral manifestation. A case of oral secondary syphilis was reported. Man, 36, was referred for diagnosis of an oral ulcer of 1 month's duration. Intraoral examination revealed an ulcerated lesion at the tip of the tongue, with borders slightly elevated and firm consistency on palpation. An incisional biopsy was done under local anesthesia. Microscopically, a severe chronic inflammatory reaction rich in plasma cells was observed. Based on these, syphilis was the proposed diagnosis, which was confirmed on serological testing. The patient was reevaluated and presented round red patches in the skin, prompting a diagnosis of secondary syphilis. The patient was treated with penicillin, prescribed by an infectologist. Currently, syphilis should be also considered in the differential diagnosis of all single oral ulcers.
Publication Year: 2014
Publication Date: 2014-01-16
Language: en
Type: article
Indexed In: ['crossref']
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