Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS

Detalhes bibliográficos
Autor(a) principal: Diefenthäler, Vanessa Laís
Data de Publicação: 2017
Outros Autores: Cardoso, Mariele do Amaral Schneider, Zanella, Janice de Fátima Pavan, Moreira, Paulo Ricardo, Coser, Janaina
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/27017
Resumo: *** Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS ***AIMS: To describe a case of anal lesion caused by human papillomavirus (HPV) infection in a woman living with HIV/AIDS.CASE DESCRIPTION: A 35-year-old woman, diagnosed with HIV five years ago, reported pruritus ani, anal bleeding, painful defecation, and presence of small warts in the perianal region. The patient was seen at a specialized care center and was subjected to clinical examination with visual inspection, which revealed perianal condyloma. Histopathological examination confirmed the presence of moderate to severe dysplasia associated with HPV-compatible changes. The anal lesion was excised. At the onset of the symptoms, the patient was not on antiretroviral therapy and her HIV viral load was at its highest (2,951 copies/mL) compared with her previous laboratory tests. She had gone through emotional stress and presented with recurrent genital herpes simplex virus infections. These factors may have predisposed her to the development of anal condyloma.CONCLUSIONS: Since HIV infection may alter the history of HPV infection, it is important that screening strategies include cytological analysis of both the cervix and the anal region.
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spelling Anal lesion caused by human papillomavirus in a woman living with HIV/AIDSLesão anal por papilomavírus humano em mulher vivendo com HIV/aidsPapillomavirus infectionsHIV infectionsanus neoplasms.infecções por Papilomavírusinfecção por HIVcâncer anal.*** Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS ***AIMS: To describe a case of anal lesion caused by human papillomavirus (HPV) infection in a woman living with HIV/AIDS.CASE DESCRIPTION: A 35-year-old woman, diagnosed with HIV five years ago, reported pruritus ani, anal bleeding, painful defecation, and presence of small warts in the perianal region. The patient was seen at a specialized care center and was subjected to clinical examination with visual inspection, which revealed perianal condyloma. Histopathological examination confirmed the presence of moderate to severe dysplasia associated with HPV-compatible changes. The anal lesion was excised. At the onset of the symptoms, the patient was not on antiretroviral therapy and her HIV viral load was at its highest (2,951 copies/mL) compared with her previous laboratory tests. She had gone through emotional stress and presented with recurrent genital herpes simplex virus infections. These factors may have predisposed her to the development of anal condyloma.CONCLUSIONS: Since HIV infection may alter the history of HPV infection, it is important that screening strategies include cytological analysis of both the cervix and the anal region.*** Lesão anal por papilomavírus humano em mulher vivendo com HIV/aids ***OBJETIVOS: Descrever um caso de lesão anal causada por infecção pelo papilomavírus humano em uma mulher vivendo com HIV/aids.DESCRIÇÃO DO CASO: Mulher de 35 anos, diagnosticada há cinco anos com HIV, relatou prurido e sangramento anal, dor ao defecar e visualização de pequenas verrugas na região perianal. Atendida em um serviço de atenção especializada, foi submetida a exame clínico com inspeção visual, o qual revelou condiloma na região perianal. O exame histopatológico confirmou a presença de displasia de grau moderado a acentuado associado a alterações compatíveis com infecção pelo papilomavírus humano. A paciente foi encaminhada para exérese da lesão. No início dos sintomas, a paciente ainda não fazia uso da terapia antirretroviral e apresentava a maior carga viral do HIV de seu histórico laboratorial, com 2.951 cópias/ml. Também havia passado por estresse emocional e estava com infecções genitais recorrentes pelo vírus Herpes simplex. Esses fatores podem ter contribuído para o desenvolvimento do condiloma anal.CONCLUSÕES: A possibilidade de que a infecção pelo HIV possa alterar a história da infecção pelo HPV alerta para que nessas situações sejam adotadas estratégias rigorosas de rastreamento através do exame citológico, tanto do colo do útero como da região analEditora da PUCRS - ediPUCRS2017-07-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de caso raro ou de especial interesseapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2701710.15448/1980-6108.2017.3.27017Scientia Medica; Vol. 27 No. 3 (2017); ID27017Scientia Medica; v. 27 n. 3 (2017); ID270171980-61081806-556210.15448/1980-6108.2017.3reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/27017/15776Copyright (c) 2017 Scientia Medicainfo:eu-repo/semantics/openAccessDiefenthäler, Vanessa LaísCardoso, Mariele do Amaral SchneiderZanella, Janice de Fátima PavanMoreira, Paulo RicardoCoser, Janaina2017-08-28T14:46:54Zoai:ojs.revistaseletronicas.pucrs.br:article/27017Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-08-28T14:46:54Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
Lesão anal por papilomavírus humano em mulher vivendo com HIV/aids
title Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
spellingShingle Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
Diefenthäler, Vanessa Laís
Papillomavirus infections
HIV infections
anus neoplasms.
infecções por Papilomavírus
infecção por HIV
câncer anal.
title_short Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
title_full Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
title_fullStr Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
title_full_unstemmed Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
title_sort Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
author Diefenthäler, Vanessa Laís
author_facet Diefenthäler, Vanessa Laís
Cardoso, Mariele do Amaral Schneider
Zanella, Janice de Fátima Pavan
Moreira, Paulo Ricardo
Coser, Janaina
author_role author
author2 Cardoso, Mariele do Amaral Schneider
Zanella, Janice de Fátima Pavan
Moreira, Paulo Ricardo
Coser, Janaina
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Diefenthäler, Vanessa Laís
Cardoso, Mariele do Amaral Schneider
Zanella, Janice de Fátima Pavan
Moreira, Paulo Ricardo
Coser, Janaina
dc.subject.por.fl_str_mv Papillomavirus infections
HIV infections
anus neoplasms.
infecções por Papilomavírus
infecção por HIV
câncer anal.
topic Papillomavirus infections
HIV infections
anus neoplasms.
infecções por Papilomavírus
infecção por HIV
câncer anal.
description *** Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS ***AIMS: To describe a case of anal lesion caused by human papillomavirus (HPV) infection in a woman living with HIV/AIDS.CASE DESCRIPTION: A 35-year-old woman, diagnosed with HIV five years ago, reported pruritus ani, anal bleeding, painful defecation, and presence of small warts in the perianal region. The patient was seen at a specialized care center and was subjected to clinical examination with visual inspection, which revealed perianal condyloma. Histopathological examination confirmed the presence of moderate to severe dysplasia associated with HPV-compatible changes. The anal lesion was excised. At the onset of the symptoms, the patient was not on antiretroviral therapy and her HIV viral load was at its highest (2,951 copies/mL) compared with her previous laboratory tests. She had gone through emotional stress and presented with recurrent genital herpes simplex virus infections. These factors may have predisposed her to the development of anal condyloma.CONCLUSIONS: Since HIV infection may alter the history of HPV infection, it is important that screening strategies include cytological analysis of both the cervix and the anal region.
publishDate 2017
dc.date.none.fl_str_mv 2017-07-24
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de caso raro ou de especial interesse
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/27017
10.15448/1980-6108.2017.3.27017
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/27017
identifier_str_mv 10.15448/1980-6108.2017.3.27017
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/27017/15776
dc.rights.driver.fl_str_mv Copyright (c) 2017 Scientia Medica
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Scientia Medica
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 27 No. 3 (2017); ID27017
Scientia Medica; v. 27 n. 3 (2017); ID27017
1980-6108
1806-5562
10.15448/1980-6108.2017.3
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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