leucodermia sifilítica: expressão rara do secundarismo diagnosticada por exame histopatológico leucoderma syphiliticum: a rare expression of the secondary stage diagnosed by histopathology

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ID: 173221
2010
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Abstract
Biópsias são ocasionalmente necessárias para confirmação diagnóstica de sífilis secundária, normalmente obtida por correlação clínico-sorológica. Entretanto, o exame histopatológico pode oferecer pistas que conduzam a um diagnóstico em casos antes insuspeitos ou de apresentação clínica incomum. Apresentamos um paciente de 35 anos, há dois com lesões acrômicas vitiligoides, para o qual sífilis foi sugerida somente após o exame histopatológico. Alguns aspectos microscópicos observados são discutidos e comparados com dados disponíveis na literatura.
Biopsies are occasionally necessary to confirm the diagnosis of secondary-stage syphilis, currently achieved by clinico-serological correlation. However, histopathologic examination may offer clues that can lead to the diagnosis of the disease in previously unsuspected or unusual cases. We report the case of a 35-year-old male patient with vitiligo-like lesions for two years, whose diagnosis of syphilis was suggested only after histopathologic examination. Some microscopic aspects observed are discussed and compared to data from the literature.
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Authors ;Mario Fernando Ribeiro de Miranda;Maraya de Jesus Semblano Bittencourt;Igor da Costa Lopes;Shirley do Socorro Magalhães Cumino
Journal Theriogenology
Year 2010
DOI
10.1590/S0365-05962010000400012
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