False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis

Background: Syphilis is the oldest sexually transmitted infectious disease in humanity. In the last decades, it was noted the re-emergence of the disease, and actually it remains an important public health problem. Oral mucosa could be affected by the infection. Oral manifestations are commonly asso...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Gilligan, Gerardo, Leonardi, Nicolás, Garola, Federico, Sanfedele, Agustina, Beltramo, Agostina, Panico, René Luis dir., Piemonte, Eduardo David
Formato: Artículo
Lenguaje:Español
Publicado: John Wiley and Sons Inc 2021
Materias:
R Medicina (General)
RK Odontología
Acceso en línea:http://pa.bibdigital.ucc.edu.ar/3252/1/A_Leonardi_Gilligan_Garola.pdf
Aporte de:
Producción Académica Universidad Católica de Córdoba (UCCor) de Universidad Católica de Córdoba
id I38-R144-3252
record_format dspace
institution Universidad Católica de Córdoba
institution_str I-38
repository_str R-144
collection Producción Académica Universidad Católica de Córdoba (UCCor)
language Español
orig_language_str_mv spa
topic R Medicina (General)
RK Odontología
spellingShingle R Medicina (General)
RK Odontología
Gilligan, Gerardo
Leonardi, Nicolás
Garola, Federico
Sanfedele, Agustina
Beltramo, Agostina
Panico, René Luis dir.
Piemonte, Eduardo David
False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis
topic_facet R Medicina (General)
RK Odontología
description Background: Syphilis is the oldest sexually transmitted infectious disease in humanity. In the last decades, it was noted the re-emergence of the disease, and actually it remains an important public health problem. Oral mucosa could be affected by the infection. Oral manifestations are commonly associated with secondary syphilis. It was described that the labial commissure could be involved as a split papule, also known as false cheilitis (FC). However, this clinical manifestation is poorly described in current literature. Aim: This brief report aims to determine the frequency of FC in patients diagnosed with secondary syphilis in our institution during the period 2009-2019. Material & Methods: A cross-sectional retrospective study was conducted using the medical records of the Oral Medicine Department, Facultad de Odontología, Universidad Nacional de Córdoba, Argentina. The cases included were patients with provisional diagnosis of secondary syphilis with oral manifestations, confirmed by laboratory tests. Collection of clinical and serological data was performed. Absolute and relative values were obtained. Results: In this study, 58 patients (26 males and 32 females) with an average age of 34.70 years old were included. The frequency of false cheilitis in these patients was 13% (8/58). All these patients with false cheilitis and secondary syphilis were young females with an average age of 25.12 years old. These lesions presented as angular cheilitis with an unilateral pattern with painful fissured papules associated with other oral lesions such as fissures, intraoral papules, tongue depapillation, white or red plaques, and the evidence of submandibular lymphadenopathies when examining the head and neck region. Conclusion: Our findings suggest that when angular cheilitis presents in young females as a painful, unilateral lesion, in the clinical context of other lesions and lymphadenopathies in the head and neck region, it could represent a suspicious clinical sign of syphilis. Considering the global re-emergence of sexually transmitted diseases, dentists should be aware of the oral clinical manifestations of syphilis as they play a significant role in the early detection of these conditions.
format Artículo
Artículo
author Gilligan, Gerardo
Leonardi, Nicolás
Garola, Federico
Sanfedele, Agustina
Beltramo, Agostina
Panico, René Luis dir.
Piemonte, Eduardo David
author_facet Gilligan, Gerardo
Leonardi, Nicolás
Garola, Federico
Sanfedele, Agustina
Beltramo, Agostina
Panico, René Luis dir.
Piemonte, Eduardo David
author_sort Gilligan, Gerardo
title False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis
title_short False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis
title_full False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis
title_fullStr False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis
title_full_unstemmed False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis
title_sort false cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis
publisher John Wiley and Sons Inc
publishDate 2021
url http://pa.bibdigital.ucc.edu.ar/3252/1/A_Leonardi_Gilligan_Garola.pdf
work_keys_str_mv AT gilligangerardo falsecheilitisfaussecheilitisasaclinicalmanifestationoforalsecondarysyphilis
AT leonardinicolas falsecheilitisfaussecheilitisasaclinicalmanifestationoforalsecondarysyphilis
AT garolafederico falsecheilitisfaussecheilitisasaclinicalmanifestationoforalsecondarysyphilis
AT sanfedeleagustina falsecheilitisfaussecheilitisasaclinicalmanifestationoforalsecondarysyphilis
AT beltramoagostina falsecheilitisfaussecheilitisasaclinicalmanifestationoforalsecondarysyphilis
AT panicoreneluisdir falsecheilitisfaussecheilitisasaclinicalmanifestationoforalsecondarysyphilis
AT piemonteeduardodavid falsecheilitisfaussecheilitisasaclinicalmanifestationoforalsecondarysyphilis
_version_ 1766818630264160256
spelling I38-R144-32522023-05-18T16:02:02Z http://pa.bibdigital.ucc.edu.ar/3252/ False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis Gilligan, Gerardo Leonardi, Nicolás Garola, Federico Sanfedele, Agustina Beltramo, Agostina Panico, René Luis dir. Piemonte, Eduardo David R Medicina (General) RK Odontología Background: Syphilis is the oldest sexually transmitted infectious disease in humanity. In the last decades, it was noted the re-emergence of the disease, and actually it remains an important public health problem. Oral mucosa could be affected by the infection. Oral manifestations are commonly associated with secondary syphilis. It was described that the labial commissure could be involved as a split papule, also known as false cheilitis (FC). However, this clinical manifestation is poorly described in current literature. Aim: This brief report aims to determine the frequency of FC in patients diagnosed with secondary syphilis in our institution during the period 2009-2019. Material & Methods: A cross-sectional retrospective study was conducted using the medical records of the Oral Medicine Department, Facultad de Odontología, Universidad Nacional de Córdoba, Argentina. The cases included were patients with provisional diagnosis of secondary syphilis with oral manifestations, confirmed by laboratory tests. Collection of clinical and serological data was performed. Absolute and relative values were obtained. Results: In this study, 58 patients (26 males and 32 females) with an average age of 34.70 years old were included. The frequency of false cheilitis in these patients was 13% (8/58). All these patients with false cheilitis and secondary syphilis were young females with an average age of 25.12 years old. These lesions presented as angular cheilitis with an unilateral pattern with painful fissured papules associated with other oral lesions such as fissures, intraoral papules, tongue depapillation, white or red plaques, and the evidence of submandibular lymphadenopathies when examining the head and neck region. Conclusion: Our findings suggest that when angular cheilitis presents in young females as a painful, unilateral lesion, in the clinical context of other lesions and lymphadenopathies in the head and neck region, it could represent a suspicious clinical sign of syphilis. Considering the global re-emergence of sexually transmitted diseases, dentists should be aware of the oral clinical manifestations of syphilis as they play a significant role in the early detection of these conditions. John Wiley and Sons Inc 2021-07-21 application/pdf spa http://pa.bibdigital.ucc.edu.ar/3252/1/A_Leonardi_Gilligan_Garola.pdf Gilligan, Gerardo, Leonardi, Nicolás, Garola, Federico, Sanfedele, Agustina, Beltramo, Agostina, Panico, René Luis dir. ORCID: https://orcid.org/0000-0002-5833-5546 <https://orcid.org/0000-0002-5833-5546> and Piemonte, Eduardo David (2021) False cheilitis (fausse cheilitis) as a clinical manifestation of oral secondary syphilis. International Journal of Dermatology, 61 (2). pp. 180-183. ISSN 0011-9059 https://onlinelibrary.wiley.com/doi/10.1111/ijd.15787 info:eu-repo/semantics/altIdentifier/doi/https://doi.org/10.1111/ijd.15787 info:eu-repo/semantics/article info:ar-repo/semantics/artículo Fil: Gilligan, Gerardo. Universidad Nacional de Córdoba. Facultad de Odontología. Oral Medicine Department; Argentina Fil: Leonardi, Nicolás. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina Fil: Garola, Federico. Universidad Nacional de Córdoba. Facultad de Odontología. Oral Medicine Department; Argentina Fil: Sanfedele, Agustina. Universidad Nacional de Córdoba. Facultad de Odontología. Oral Medicine Department; Argentina Fil: Beltramo, Agostina. Universidad Nacional de Córdoba. Facultad de Odontología. Oral Medicine Department; Argentina Fil: Panico, René Luis. Universidad Nacional de Córdoba. Facultad de Odontología. Oral Medicine Department; Argentina Fil: Piemonte, Eduardo David. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es

Ejemplares similares