Anal lesion caused by human papillomavirus in a woman living with HIV/AIDS
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
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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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 |
_version_ |
1809101751381393408 |