RESUMO
Relatamos um caso de pênfigo vulgar diagnosticado precocemente na consulta odontológica. Indivíduo de 42 anos apresenta-se com lesões bolhosas na mucosa bucal, com tempo de evolução aproximado de quatro meses. O laudo da biopsia incisional foi compatível com pênfigo vulgar. Imediatamente foi encaminhado para realização de exames complementares num centro especializado e, iniciou o tratamento. Geralmente, as lesões em mucosa oral precedem a aquelas em pele, dai a importância do cirurgião dentista no diagnóstico precoce desta doença potencialmente mortal.
We report a case of pemphigus vulgaris diagnosed early in a dental appointment. Male, 42 years-old, presented with bullous lesions in the oral mucosa, which developed within the last four months. The report of incisional biopsy was consistent with pemphigus vulgaris. He was immediately referred to further tests in a specialized center and started treatment. Generally, lesions in the oral mucosa precede those in the skin, hence the importance of the participation of the dentist in the early diagnosis of this potentially deadly disease.
Assuntos
Humanos , Masculino , Adulto , Pênfigo/diagnóstico , Diagnóstico PrecoceRESUMO
El virus del herpes simplex (VHS) tiene una marcada prevalencia y permanece latente de por vida en los individuos infectados. En pacientes inmunocomprometidos puede manifestarse de manera poco habitual y con mayor índice de recurrencias. Se comunican las observaciones clínicas de pacientes inmunocomprometidos, ya sea por VIH o por la utilización de terapias supresoras para el tratamiento de enfermedades ampollares autoinmunes, que se asocian con VHS. Dentro de este entorno fueron seleccionados dos pacientes VIH (+) con VHS que presentaron dificultad diagnóstica dada la clínica no clásica y cuatro pacientes con diferentes variedades de pénfigo exacerbados por el VHS.
The herpes simplex virus has a remarkable prevalence, remaining dormant for life on infectedpeople. On immunosuppressed patients it can manifiest itself in unusual ways, with a greaterrate of recurrence. The purpose of this study is to convey the clinical observartions performedon immunosuppressed patients, either HIV (+) or patients with bullous diseases treated withimmunosuppressive therapy that have intercurrent HSV. Within this enviroment we selected twoVIH (+) patients with HSV, that presented diagnostic difficulties because of its atypical clinicalpresentation, and four patients with different clinical types of pemphigus, immunosupressed, withtheir underlying disease presenting flares by the HSV.