Dysphonia and odynophagia: a presentation of late syphilis

Detalhes bibliográficos
Autor(a) principal: Barreto, Joana
Data de Publicação: 2023
Outros Autores: Gomes, Pedro, Duarte, Delfim, Nakamura, Roberto
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34631/sporl.2066
Resumo: Syphilis is known to be “the great imitator”, as the clinical history is often treacherous and the clinical spectrum of signs and symptoms is extremely extensive, making diagnosis particularly challenging. We present the case of a 69-year-old man with symptoms of hearing loss, dysphonia and odynophagia for 3 months. Associated with this, he had pruritus with generalized erythema and cutaneous desquamation, changes in visual acuity and nocturnal hypersudoresis. He had a history of smoking and alcoholism and had denied unprotected sexual contact for 10 years. In the oropharynx, flat, whitish lesions were observed on the soft palate. Laryngoscopy showed alterations, with areas of leukoplakia in both vocal cords, ventricular bands and posterior commissure. The analytical study was compatible with the diagnosis of syphilis. The patient complied with the recommended treatment and presented resolution of the complaints and lesions observed.
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spelling Dysphonia and odynophagia: a presentation of late syphilisDisfonia e Odinofagia: uma apresentação tardia de sífilisSífilisDisfoniahipoacusialeucoplasiaotossífilisSyphilisdysphoniahearing lossleukoplakiaotosyphilisSyphilis is known to be “the great imitator”, as the clinical history is often treacherous and the clinical spectrum of signs and symptoms is extremely extensive, making diagnosis particularly challenging. We present the case of a 69-year-old man with symptoms of hearing loss, dysphonia and odynophagia for 3 months. Associated with this, he had pruritus with generalized erythema and cutaneous desquamation, changes in visual acuity and nocturnal hypersudoresis. He had a history of smoking and alcoholism and had denied unprotected sexual contact for 10 years. In the oropharynx, flat, whitish lesions were observed on the soft palate. Laryngoscopy showed alterations, with areas of leukoplakia in both vocal cords, ventricular bands and posterior commissure. The analytical study was compatible with the diagnosis of syphilis. The patient complied with the recommended treatment and presented resolution of the complaints and lesions observed.A sífilis é conhecida por ser “a grande imitadora”, uma vez que a história clínica é frequentemente traiçoeira e o espectro clínico de sinais e sintomas é extremamente extenso, fazendo o diagnóstico particularmente desafiante. Apresentamos o caso de um homem, 69 anos, com um quadro de 3 meses de hipoacusia, disfonia e odinofagia. Associadamente apresentava prurido com eritema generalizado e descamação cutânea, alterações da acuidade visual e hipersudorese noturna. Possuía antecedentes de hábitos tabágicos e alcoólicos e negava contactos sexuais desprotegidos há 10 anos. Ao exame objectivo observaram-se lesões planas e esbranquiçadas no palato mole. A laringoscopia mostrou alterações, com áreas de leucoplasia em ambas as cordas vocais, bandas ventriculares e comissura posterior. O estudo analítico foi compatível com o diagnóstico de sífilis. O doente cumpriu o tratamento recomendado e apresentou resolução das queixas e das lesões observadas.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2023-12-26info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.2066https://doi.org/10.34631/sporl.2066Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 4 (2023): December; 413-418Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 4 (2023): Dezembro; 413-418Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 4 (2023): Dezembro; 413-4182184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://journalsporl.com/index.php/sporl/article/view/2066https://journalsporl.com/index.php/sporl/article/view/2066/93https://journalsporl.com/index.php/sporl/article/view/2066/94Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessBarreto, JoanaGomes, PedroDuarte, DelfimNakamura, Roberto2024-06-06T12:57:07Zoai:journalsporl.com:article/2066Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T12:57:07Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Dysphonia and odynophagia: a presentation of late syphilis
Disfonia e Odinofagia: uma apresentação tardia de sífilis
title Dysphonia and odynophagia: a presentation of late syphilis
spellingShingle Dysphonia and odynophagia: a presentation of late syphilis
Barreto, Joana
Sífilis
Disfonia
hipoacusia
leucoplasia
otossífilis
Syphilis
dysphonia
hearing loss
leukoplakia
otosyphilis
title_short Dysphonia and odynophagia: a presentation of late syphilis
title_full Dysphonia and odynophagia: a presentation of late syphilis
title_fullStr Dysphonia and odynophagia: a presentation of late syphilis
title_full_unstemmed Dysphonia and odynophagia: a presentation of late syphilis
title_sort Dysphonia and odynophagia: a presentation of late syphilis
author Barreto, Joana
author_facet Barreto, Joana
Gomes, Pedro
Duarte, Delfim
Nakamura, Roberto
author_role author
author2 Gomes, Pedro
Duarte, Delfim
Nakamura, Roberto
author2_role author
author
author
dc.contributor.author.fl_str_mv Barreto, Joana
Gomes, Pedro
Duarte, Delfim
Nakamura, Roberto
dc.subject.por.fl_str_mv Sífilis
Disfonia
hipoacusia
leucoplasia
otossífilis
Syphilis
dysphonia
hearing loss
leukoplakia
otosyphilis
topic Sífilis
Disfonia
hipoacusia
leucoplasia
otossífilis
Syphilis
dysphonia
hearing loss
leukoplakia
otosyphilis
description Syphilis is known to be “the great imitator”, as the clinical history is often treacherous and the clinical spectrum of signs and symptoms is extremely extensive, making diagnosis particularly challenging. We present the case of a 69-year-old man with symptoms of hearing loss, dysphonia and odynophagia for 3 months. Associated with this, he had pruritus with generalized erythema and cutaneous desquamation, changes in visual acuity and nocturnal hypersudoresis. He had a history of smoking and alcoholism and had denied unprotected sexual contact for 10 years. In the oropharynx, flat, whitish lesions were observed on the soft palate. Laryngoscopy showed alterations, with areas of leukoplakia in both vocal cords, ventricular bands and posterior commissure. The analytical study was compatible with the diagnosis of syphilis. The patient complied with the recommended treatment and presented resolution of the complaints and lesions observed.
publishDate 2023
dc.date.none.fl_str_mv 2023-12-26
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.2066
https://doi.org/10.34631/sporl.2066
url https://doi.org/10.34631/sporl.2066
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2066
https://journalsporl.com/index.php/sporl/article/view/2066/93
https://journalsporl.com/index.php/sporl/article/view/2066/94
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 4 (2023): December; 413-418
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 4 (2023): Dezembro; 413-418
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 4 (2023): Dezembro; 413-418
2184-6499
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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