Dysphonia and odynophagia: a presentation of late syphilis
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
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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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) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação 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) |
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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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