RESUMO
Two 28 and 25 year old female patients were studied. Endoscopic analysis of their stomachs showed an hyperemic mammillation picture, neoplasia compatible, in the first patient, and an ulcerous lesion in the second one. Both findings were the result of a positive serological test to discard syphilis. All this, together with a cutaneous and epidemiological history, represented an assumed diagnosis of a secondary stage syphilis with gastric disorders. Although it was not necessary, one case was submitted to a specific spirochaeta stain, but results were negative. The true diagnosis resulted from a penicillin treatment, which provoked a cutaneous-visceral history regression as well as a diminishing in V.D.R.L. titles
Assuntos
Humanos , Feminino , Adulto , Gastropatias/diagnóstico , Sífilis/diagnóstico , Diagnóstico Diferencial , Gastropatias/tratamento farmacológico , Gastropatias/patologia , Penicilinas/uso terapêutico , Sorodiagnóstico da Sífilis , Sífilis/tratamento farmacológico , Sífilis/patologiaRESUMO
Two 28 and 25 year old female patients were studied. Endoscopic analysis of their stomachs showed an hyperemic mammillation picture, neoplasia compatible, in the first patient, and an ulcerous lesion in the second one. Both findings were the result of a positive serological test to discard syphilis. All this, together with a cutaneous and epidemiological history, represented an assumed diagnosis of a secondary stage syphilis with gastric disorders. Although it was not necessary, one case was submitted to a specific spirochaeta stain, but results were negative. The true diagnosis resulted from a penicillin treatment, which provoked a cutaneous-visceral history regression as well as a diminishing in V.D.R.L. titles.