RESUMO
Aunque es por todos bien conocida la heterogeneidad de manifestaciones clínicas con la que puede presentarse la sífilis, esta también puede mostrarse con patrones atípicos. Ya sea por su capacidad de mimetizar otras dermatosis conocidas, por saltarse los patrones clínicos clásicos o por su originalidad clínica, la sífilis en sus formas atípicas puede llevar a confusiones en el diagnóstico, retrasos en el tratamiento y por tanto un alto riesgo de transmisión. Entre pacientes coinfectados por el VIH se han descrito más frecuentemente casos de sífilis atípica. El hecho de que se trate de una infección venérea cuya incidencia está aumentando en los últimos años, especialmente en pacientes con VIH, hace necesario que los dermatólogos se familiaricen también con estas formas clínicas menos conocidas
Although the diversity of the clinical manifestations of syphilis is well-known, atypical presentations can also occur. Such atypical presentations are associated with a high risk of transmission as a result of diagnostic confusion and treatment delays owing to the disease's ability to mimic other common skin diseases, deviate from classic clinical presentations, and adopt unique forms. Cases of atypical syphilis have been described most frequently in patients with concomitant human immunodeficiency virus (HIV) infection. Because the incidence of syphilis has been growing over recent years -particularly in patients with HIV co-infection- dermatologists need to be familiar with the less well-known clinical presentations of this venereal disease
Assuntos
Humanos , Masculino , Feminino , Sífilis/complicações , Sífilis/diagnóstico , Sífilis/prevenção & controle , Infecções Sexualmente Transmissíveis/complicações , Infecções Sexualmente Transmissíveis/patologia , Infecções Sexualmente Transmissíveis/prevenção & controle , HIV/imunologia , HIV/patogenicidade , Sintomas Concomitantes , EspanhaRESUMO
Although the diversity of the clinical manifestations of syphilis is well-known, atypical presentations can also occur. Such atypical presentations are associated with a high risk of transmission as a result of diagnostic confusion and treatment delays owing to the disease's ability to mimic other common skin diseases, deviate from classic clinical presentations, and adopt unique forms. Cases of atypical syphilis have been described most frequently in patients with concomitant human immunodeficiency virus (HIV) infection. Because the incidence of syphilis has been growing over recent years -particularly in patients with HIV co-infection- dermatologists need to be familiar with the less well-known clinical presentations of this venereal disease.
