Manifestação Oral Atípica pelo HPV Diagnosticado em Paciente com Síndrome da Imunodeficiência Adquirida e Múltiplos Fatores de Risco: Relato de Caso
DOI:
https://doi.org/10.21270/archi.v11i5.6008Palavras-chave:
HIV, Síndrome de Imunodeficiência Adquirida, Papillomaviridae, Fatores de Risco, Neoplasias Bucais, Patologia BucalResumo
O Vírus da Imunodeficiência Humana, quando associado à uma terapia antirretroviral deficiente ou ao abandono do esquema terapêutico, é o responsável pelo desenvolvimento da Síndrome da Imunodeficiência Adquirida, quadro clínico de imunossupressão que predispõe o paciente ao aparecimento de infecções oportunistas. A infecção pelo Vírus do Papiloma Humano é uma das infecções oportunistas mais comuns e diversos fatores de risco podem estar associados à sua prevalência, dentre eles o tabagismo e etilismo, que também contribuem para a persistência da infecção e possível cancerização de lesões causadas pelo vírus. O presente estudo tem como objetivo relatar o caso clínico de um paciente do sexo masculino, ex-tabagista, ex-etilista, ex-usuário de drogas com diagnostico tardio do Vírus da Imunodeficiência Humana e em quadro de Síndrome da Imunodeficiência Adquirida, que apresentou leucoplasias em bordo bilateral de língua. Foi necessária exérese total das lesões e a análise histopatológica apresentou características de infecção pelo Vírus do Papiloma Humano, além de displasia atípica com alta replicação viral e possibilidade de malignidade.
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