Lymphadenopathy, weight loss, and anal lesion in a teenager
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v33.i2.27393Keywords:
condylomata lata, secondary syphilis, sexual education, sexually transmitted infectionAbstract
Syphilis is a systemic disease with an increasing incidence in adolescents and young adults. Clinical manifestations can be variable and diagnosis requires a high index of suspicion, as syphilis can mimic other systemic diseases. Condylomata lata is a highly infectious manifestation of secondary syphilis, reported in 9-44% of cases. Here is reported the case of an adolescent girl who presented with inguinal lymphadenopathies, urinary and constitutional symptoms, and a history of unprotected sex with her boyfriend, who had been previously diagnosed with a genital ulcer. A complete physical examination was performed, and the detection of an anal lesion raised the hypothesis of perianal condylomata lata as a manifestation of secondary syphilis. All signs and symptoms of infection resolved with treatment. Early detection, appropriate treatment, and prevention of transmission are essential to reduce the burden of the disease.
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Copyright (c) 2024 Jessica Sousa, Madalena Meira Nisa, Sónia Coelho, Joaquina Antunes
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